acute urticariaaetiology unknownangio-oedemalife tables prognosisurticaria
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Abstract (AI)
SUMMARY.— The records of 554 consecutive patients attending hospitals in the Cambridge region with urticaria have been analysed with the aid of a computer. These patients represent only a small minority of all patients with urticaria in the region. In 79%, the aetiology was unknown although in many cases aggravating factors, for example, psychological stress, aspirin, or infection, were detected. A past or family history of atopic disorders was not found more frequently in patients with urticaria than in controls and the course of the disease in patients with a background of atopy did not differ from the remainder, suggesting that an undetected allergy is not responsible for many of these undiagnosed cases. Allergy is relatively more important in acute urticaria and in patients who do not attend hospital. The frequency of attacks and total duration of the disease are different in patients with urticaria alone, angio‐oedema alone and both together but there was little difference in the aetiological factors, supporting the concept that urticaria and angio‐oedema are fundamentally similar. The prognosis is expressed in the form of life tables.
Key Findings
1
Allergy appears relatively more important in acute urticaria cases and in patients who do not attend hospital
2
Analysis of 554 consecutive hospital-attending urticaria patients in Cambridge found the aetiology was unknown in 79% of cases
3
Attack frequency and total disease duration differ between urticaria alone, angio-oedema alone, and both together, but aetiological factors were similar, supporting that urticaria and angio-oedema are fundamentally similar
4
Common aggravating factors detected included psychological stress, aspirin, and infection, despite unknown aetiology in most cases
5
Past or family history of atopic disorders was not more frequent in urticaria patients than controls, and disease course did not differ for those with atopy
Research Object
Patients with urticaria and angio-oedema attending hospitals in the Cambridge region
Research Subject
Epidemiological characteristics, aetiological factors, relationship between urticaria and angio-oedema, disease course (frequency, duration, prognosis) and role of atopy/allergy in this hospital-attending cohort
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Publication Date
1969-08-01
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