Chronic-induced urticaria; classification, actual aspects of diagnosis and therapy

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Abstract

Chronic-induced urticaria is a group of diseases characterized by the occurrence of itchy wheals and/or angioedema in response to specific triggers, such as mechanical irritation, exposure to high and low temperatures, vibration, and ultraviolet radiation of various spectra, appearing for ≥6 weeks. This group of diseases is characterized by a long duration, a significant effect on the patient’s quality of life, and the risk of severe life-threatening reactions.

The diagnosis of induced urticaria and patient-safe reproduction of symptoms by exposure to a trigger (temperature, mechanical, etc.). Currently, no medical devices have been registered in the Russian Federation for the threshold diagnosis of most physical forms of urticaria. Consequently, diagnosing and dynamic monitoring the state of these patients and their response to treatment are challenging. The question of therapy for chronic-induced urticaria also remains open due to the insufficient effectiveness of the recommended and available treatment methods. This article provides a review of current literature data.

This article provides a review of current literature data.

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About the authors

Sofia A. Serdotetskova

City Clinical Hospital No. 52; Research Institute of Health Organization and Medical Management of the Department of Health of the City of Moscow

Email: darklynx813@gmail.com
ORCID iD: 0000-0001-8472-1152
SPIN-code: 6644-6715
Russian Federation, Moscow; Moscow

Inna V. Danilychevа

National Research Center ― Institute of Immunology Federal Medical-Biological Agency of Russia

Email: ivdanilycheva@mail.ru
ORCID iD: 0000-0002-8279-2173
SPIN-code: 4547-3948

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Daria S. Fomina

City Clinical Hospital No. 52; The First Sechenov Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: daria_fomina@mail.ru
ORCID iD: 0000-0002-5083-6637
SPIN-code: 3023-4538

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Moscow; Moscow

Natalya P. Maltseva

City Clinical Hospital No. 52

Email: filippova-nataly@mail.ru
ORCID iD: 0000-0002-4022-3570
SPIN-code: 2588-5718
Russian Federation, Moscow

Elena V. Kovalkova

City Clinical Hospital No. 52

Email: ev-kovalkova@ya.ru
ORCID iD: 0000-0002-1212-3767
SPIN-code: 3078-0976
Russian Federation, Moscow

Marina S. Lebedkina

City Clinical Hospital No. 52

Email: marina.ivanova0808@yandex.ru
ORCID iD: 0000-0002-9545-4720
SPIN-code: 1857-8154
Russian Federation, Moscow

Alexander V. Karaulov

The First Sechenov Moscow State Medical University (Sechenov University)

Email: drkaraulov@mail.ru
ORCID iD: 0000-0002-1930-5424
SPIN-code: 4122-5565

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Leyla S. Namazova-Baranova

The Russian National Research Medical University named after N.I. Pirogov; Petrovsky National Research Centre of Surgery, Research Institute of Pediatrics and Child Health Protection of the Scientific and Clinical Center No. 2

Email: Leyla.s.namazova@gmail.com
ORCID iD: 0000-0002-2209-7531
SPIN-code: 3363-6170

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

Elena A. Vishneva

The Russian National Research Medical University named after N.I. Pirogov; Petrovsky National Research Centre of Surgery, Research Institute of Pediatrics and Child Health Protection of the Scientific and Clinical Center No. 2

Email: vishneva.e@yandex.ru
ORCID iD: 0000-0001-7398-0562
SPIN-code: 1109-2810

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

Julia G. Levina

The Russian National Research Medical University named after N.I. Pirogov; Petrovsky National Research Centre of Surgery, Research Institute of Pediatrics and Child Health Protection of the Scientific and Clinical Center No. 2

Email: julia.levina@mail.ru
ORCID iD: 0000-0002-2460-7718
SPIN-code: 4626-2800

MD, Cand. Sci. (Med.)

Russian Federation, Moscow; Moscow

Vera G. Kalugina

The Russian National Research Medical University named after N.I. Pirogov; Petrovsky National Research Centre of Surgery, Research Institute of Pediatrics and Child Health Protection of the Scientific and Clinical Center No. 2

Email: v-starikova@mail.ru
ORCID iD: 0000-0002-3781-8661
SPIN-code: 7168-3817

MD, Cand. Sci. (Med.)

Russian Federation, Moscow; Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
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2. Fig. 1. Frick-test. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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3. Fig. 2. Methodic of performing of provocation testing in patient with symptomatic dermographism. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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4. Fig. 3. Positive result of provocation testing in patient with symptimatic dermographism. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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5. Fig. 4. Positive result of the ice cube testing. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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6. Fig. 5. TempTest. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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7. Fig. 6 (a, b). Positive result of provocation testing by TempTest device in patient with cold urticarial. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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8. Fig. 7. Tredmill using to providing provocation testing in patient with cholinergic urticarial. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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9. Fig. 8 (a, b). Positive result of provocation testing in patient with cholinergic urticarial. (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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10. Fig. 9. Positive result of provocation testing in patient with delayed pressure urticaria (test with sand bag). (Photo from the archive of the Moscow City Reseach and Practical Center of Allergology and Immunology Ministry of Healthcare of Moscow).

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11. Fig. 10. Provocation testing in patient with delayed pressure urticaria by standartisated cillnders [82].

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12. Fig. 11. Positive results of provocation testing in patient in patient with solar urticaria: а ― positive results of tesring with UVA specter; b ― positive results of tesring with UVB specter; с ― appearing of immediate erythema after UVA specter impact [109].

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