Two Cases of Well Controlled Chronic Spontaneous Urticaria Triggered by the Moderna COVID-19 Vaccine.

IF 2.3 Q1 OTORHINOLARYNGOLOGY
Allergy & Rhinology Pub Date : 2021-06-24 eCollection Date: 2021-01-01 DOI:10.1177/21526567211026271
Cylie Alflen, Katheryn Birch, Ryan Shilian, Shan Shan Wu, Robert Hostoffer
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引用次数: 16

Abstract

Chronic spontaneous urticaria (CSU, chronic idiopathic urticaria) is a clinical diagnosis characterized by recurrent urticaria of unknown origin, with or without angioedema, that occurs for six weeks or longer. Management of CSU includes a second-generation H1 antihistamine and/or elimination of exacerbating factors. If initial treatment is unsuccessful, trials of first generation H1 antihistamine, H2 blocking antihistamine, leukotriene-receptor antagonist, anti-inflammatory or immunosuppressive agents may be administered. Exacerbating factors include stress, environmental conditions, medications, physical stimuli, and infections. We report the first two cases of a COVID-19 vaccine triggered relapse of CSU that was previously well controlled on therapy.

新型冠状病毒疫苗诱发的可控慢性自发性荨麻疹2例
慢性自发性荨麻疹(Chronic spontaneous urticaria, CSU, Chronic idiopathic urticaria)是一种临床诊断,以不明原因的反复发作性荨麻疹为特征,伴或不伴血管性水肿,持续6周或更长时间。CSU的治疗包括使用第二代H1抗组胺药和/或消除加重因素。如果初始治疗不成功,可以进行第一代H1抗组胺药、H2阻断抗组胺药、白三烯受体拮抗剂、抗炎药或免疫抑制剂的试验。加重因素包括压力、环境条件、药物、身体刺激和感染。我们报告了前两例COVID-19疫苗引发CSU复发的病例,这些病例之前在治疗中得到了很好的控制。
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来源期刊
Allergy & Rhinology
Allergy & Rhinology OTORHINOLARYNGOLOGY-
CiteScore
3.30
自引率
4.50%
发文量
11
审稿时长
15 weeks
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