The global impact of the COVID‐19 pandemic on the management and course of chronic urticaria

  • Emek Kocatürk
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Koç University School of Medicine Istanbul Turkey
  • Andaç Salman
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Marmara University School of Medicine Istanbul Turkey
  • Ivan Cherrez‐Ojeda
    Urticaria Center of Reference and Excellence (UCARE) School of Medicine Universidad de Especialidades Espíritu Santo, Samborondón, Ecuador and RespiraLab Research, Guayaquil Ecuador
  • Paulo Ricardo Criado
    Urticaria Center of Reference and Excellence (UCARE) Faculdade de Medicina do ABC Santo André Brazil
  • Jonny Peter
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy and Clinical Immunology Department of Medicine University of Cape Town Cape Town 7925 South Africa
  • Elif Comert‐Ozer
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Marmara University School of Medicine Istanbul Turkey
  • Mohamed Abuzakouk
    Urticaria Center of Reference and Excellence (UCARE) Cleveland Clinic Abu Dhabi UAE
  • Rosana Câmara Agondi
    Urticaria Center of Reference and Excellence (UCARE) University of São Paulo São Paulo Brazil
  • Mona Al‐Ahmad
    Urticaria Center of Reference and Excellence (UCARE) Microbiology Department Faculty of Medicine Kuwait University Safat Kuwait
  • Sabine Altrichter
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology and Allergy Charité ‐ Universitätsmedizin Berlin Berlin Germany
  • Rand Arnaout
    Urticaria Center of Reference and Excellence (UCARE) King Faisal Specialist Hospital & Research Center Al Faisal University Riyadh Saudi Arabia
  • Luisa Karla Arruda
    Urticaria Center of Reference and Excellence (UCARE) Preto Medical School University of São Paulo São Paulo Brazil
  • Riccardo Asero
    Urticaria Center of Reference and Excellence (UCARE) Ambulatorio di Allergologia Clinica San Carlo Paderno Dugnano Italy
  • Andrea Bauer
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology University Allergy Center University Hospital Carl Gustav Carus Technical University Dresden Germany
  • Moshe Ben‐Shoshan
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy, Immunology and Dermatology Department of Pediatrics McGill University Health Center Montreal QC Canada
  • Jonathan A. Bernstein
    Urticaria Center of Reference and Excellence (UCARE) University of Cincinnati College of Medicine Division of Immunology, Rheumatology and Allergy Cincinnati USA
  • Mojca Bizjak
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy University Clinic of Respiratory and Allergic Diseases Golnik Golnik Slovenia
  • Isabelle Boccon‐Gibod
    Urticaria Center of Reference and Excellence (UCARE) Clinical Immunology/Internal Medicine Department National Reference Center for Angioedema Grenoble University Hospital Grenoble France
  • Hanna Bonnekoh
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology and Allergy Allergie‐Centrum‐Charité Charité ‐ Universitätsmedizin Berlin Berlin Germany
  • Laurence Bouillet
    Urticaria Center of Reference and Excellence (UCARE) Clinical Immunology/Internal Medicine Department National Reference Center for Angioedema Grenoble University Hospital Grenoble France
  • Zenon Brzoza
    Urticaria Center of Reference and Excellence (UCARE) Department of Internal Medicine with Division of Allergology Institute of Medical Sciences University of Opole Opole Poland
  • Paula Busse
    Urticaria Center of Reference and Excellence (UCARE) Division of Clinical Immunology and Allergy Icahn School at Mount Sinai New York NY USA
  • Regis A Campos
    Urticaria Center of Reference and Excellence (UCARE) Universidade Federal da Bahia Salvador Brazil
  • Emily Carne
    Urticaria Center of Reference and Excellence (UCARE) University Hospital of Wales Cardiff UK
  • Niall Conlon
    Urticaria Center of Reference and Excellence (UCARE) Department of Immunology St James’s Hospital and Trinity College Dublin Ireland
  • Roberta F. Criado
    Urticaria Center of Reference and Excellence (UCARE) Faculdade de Medicina do ABC (FMABC) Santo André Brazil
  • Eduardo M. de Souza Lima
    Urticaria Center of Reference and Excellence, (UCARE) Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA) Hospital Maternidade Therezinha de Jesus Minas Gerais Brazil
  • Semra Demir
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy Department of Internal Medicine Istanbul Faculty of Medicine Istanbul University Istanbul Turkey
  • Joachim Dissemond
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology, Venereology and Allergology University of Essen Essen Germany
  • Sibel Doğan Günaydın
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology and Venereology Faculty of Medicine Hacettepe University Ankara Turkey
  • Irina Dorofeeva
    Urticaria Center of Reference and Excellence (UCARE) Department of Allergy and Immunotherapy Institute of Immunology FMBA of Russia Moscow Russia
  • Luis Felipe Ensina
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy Clinical Immunology and Rheumatology Department of Pediatrics Federal University of São Paulo São Paulo Brazil
  • Ragıp Ertaş
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Kayseri City Education and Research Hospital Kayseri Turkey
  • Silvia Mariel Ferrucci
    Urticaria Center of Reference and Excellence (UCARE) Ambulatorio di Dermatologia Allergologica e Professionale Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico Milano Italy
  • Ignasi Figueras‐Nart
    Urticaria Center of Reference and Excellence (UCARE) The Dermatology Department of the Hospital de Bellvitge Universitat de Barcelona Barcelona Spain
  • Daria Fomina
    Urticaria Center of Reference and Excellence (UCARE) Center of Allergy and Immunology Moscow Ministry of Healthcare Moscow Russia
  • Sylvie M Franken
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Amsterdam UMC Amsterdam The Netherlands
  • Atsushi Fukunaga
    Urticaria Center of Reference and Excellence (UCARE) Division of Dermatology Kobe University Graduate School of Medicine Kobe Japan
  • Ana M. Giménez‐Arnau
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Hospital del Mar IMIM Universitat Autònoma Barcelona Spain
  • Kiran Godse
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology D Y. Patil University School of Medicine Mumbai India
  • Margarida Gonçalo
    Urticaria Center of Reference and Excellence (UCARE) Centro Hospitalar Universitário Coimbra and Faculty of Medicine University of Coimbra Clinica de Dermatologia Coimbra Portugal
  • Maia Gotua
    Urticaria Center of Reference and Excellence (UCARE Center of Allergy and Immunology Tbilsi Georgia
  • Clive Grattan
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Guys & St Thomas' Hospital London UK
  • Carole Guillet
    Urticaria Center of Reference and Excellence (UCARE) Allergy Unit Department of Dermatology University Hospital of Zurich Zurich Switzerland
  • Naoko Inomata
    Urticaria Center of Reference and Excellence (UCARE) Department of Environmental Immuno‐Dermatology Yokohama City University Graduate School of Medicine Yokohama Japan
  • Thilo Jakob
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology and Allergy University Medical Center Giessen (UKGM Justus‐Liebig‐University Giessen Giessen Germany
  • Gul Karakaya
    Urticaria Center of Reference and Excellence (UCARE) School of Medicine Department of Chest Diseases Adult Allergy Unit Hacettepe University Sihhiye Ankara Turkey
  • Alicja Kasperska‐Zając
    Urticaria Center of Reference and Excellence (UCARE) European Center for Diagnosis and Treatment of Urticaria Medical University of Silesia Zabrze Poland
  • Constance H Katelaris
    Urticaria Center of Reference and Excellence (UCARE) Immunology & Allergy Unit Department of Medicine Campbelltown Hospital Campbelltown NSW Australia
  • Mitja Košnik
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy University Clinic of Respiratory and Allergic Diseases Golnik Golnik Slovenia
  • Dorota Krasowska
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology, Venereology and Pediatric Dermatology Medical University of Lublin Lublin Poland
  • Kanokvalai Kulthanan
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
  • M. Sendhil Kumaran
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Postgraduate Institute of Medical Education and Research Chandigarh India
  • Claudia Lang
    Urticaria Center of Reference and Excellence (UCARE) Allergy Unit Department of Dermatology University Hospital of Zurich Zurich Switzerland
  • José Ignacio Larco‐Sousa
    Urticaria Center of Reference and Excellence (UCARE) Clinica San Felipe Lima Peru
  • Elisavet Lazaridou
    Urticaria Center of Reference and Excellence (UCARE) Second department of Dermatology and Venereology Aristotle University of Thessaloniki General Hospital Papageorgiou Thessaloniki Greece
  • Tabi Anika Leslie
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Royal Free Hospital London UK
  • Undine Lippert
    Urticaria Center of Reference and Excellence (UCARE Department of Dermatology Medical Center of University Goettingen Venerology und Allergology Goettingen Germany
  • Oscar Calderón llosa
    Urticaria Center of Reference and Excellence (UCARE) Department of Allergy SANNA el Golf San Isidro, Lima
  • Michael Makris
    Urticaria Center of Reference and Excellence (UCARE) Second Department of Dermatology and Venereology National and Kapodistrian University of Athens University General Hospital “Attikon” Athens Greece
  • Alexander Marsland
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology The Urticaria Clinic Salford Royal Foundation Trust University of Manchester Manchester UK
  • Iris V. Medina
    Urticaria Center of Reference and Excellence (UCARE) Allergy and Clinical Immunology Department Centro Médico Vitae, de Julio Argentina
  • Raisa Meshkova
    Urticaria Center of Reference and Excellence (UCARE) Department of Clinical Immunology and Allergology Smolensk State Medical University Smolensk Russia
  • Esther Bastos Palitot
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Hospital Universitário Lauro Wanderley João Pessoa PB Brazil
  • Claudio A.S. Parisi
    Urticaria Center of Reference and Excellence (UCARE) Adults and Pediatrics Allergy Unit Hospital Italiano de Buenos Aires Buenos Aires Argentina
  • Julia Pickert
    Urticaria Center of Reference and Excellence (UCARE) Clinical & Experimental Allergology Department of Dermatology and Allergology Philipps University Marburg Marburg Germany
  • German D. Ramon
    Urticaria Center of Reference and Excellence (UCARE) Instituto de Alergia e Inmunologia del Sur Buenos Aires Argentina
  • Mónica Rodríguez‐Gonzalez
    Urticaria Center of Reference and Excellence (UCARE) Department of Allergy Hospital Español de México Mexico City Mexico
  • Nelson Rosario
    Urticaria Center of Reference and Excellence (UCARE) Federal University of Parana Rua General Carneiro Curitiba Brazil
  • Michael Rudenko
    Urticaria Center of Reference and Excellence (UCARE) London Allergy and Immunology Centre London UK
  • Krzysztof Rutkowski
    Urticaria Center of Reference and Excellence (UCARE) Department of Allergy Guy's and St Thomas’ Hospital NHS Foundation Trust London UK
  • Jorge Sánchez
    Urticaria Center of Reference and Excellence (UCARE) Department of Pediatrics Graduate Program on Allergology University of Antioquia Medellín Colombia
  • Sibylle Schliemann
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology University Hospital Jena Germany
  • Bulent Enis Sekerel
    Urticaria Center of Reference and Excellence (UCARE) Department of Pediatric Allergy Hacettepe University Faculty of Medicine Ankara Turkey
  • Faradiba S. Serpa
    Urticaria Center of Reference and Excellence (UCARE) Hospital Santa Casa de Misericórdia de Vitória Espírito Santo Brazil
  • Esther Serra‐Baldrich
    Urticaria Center of Reference and Excellence (UCARE) Dermatology Department Hospital Sant Pau Barcelona Spain
  • Zhiqiang Song
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Southwest Hospital Army Medical University Chongqing China
  • Angèle Soria
    Urticaria Center of Reference and Excellence (UCARE) Service de Dermatologie et Allergologie Hopital Tenon APHP Université Paris Sorbonne France
  • Maria Staevska
    Urticaria Center of Reference and Excellence (UCARE) Department of Allergy Sofia Medical University Sofia Bulgaria
  • Petra Staubach
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology University Medical Center Mainz Germany
  • Anna Tagka
    Urticaria Center of Reference and Excellence (UCARE) First Department of Dermatology and Venereology National and Kapodistrian University of Athens, "A. Syggros" Hospital Referral Center of Occupational Dermatological Diseases Athens Greece
  • Shunsuke Takahagi
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan
  • Simon Francis Thomsen
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Bispebjerg Hospital Copenhagen Denmark
  • Regina Treudler
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology, Venerology and Allergology and Leipzig Interdisciplinary Center of Allergology Comprehensive Allergy Center UMC Leipzig Leipzig Germany
  • Zahava Vadasz
    Urticaria Center of Reference and Excellence (UCARE) Division of Allergy and Clinical Immunology Bnai‐Zion Medical Center Technion Faculty of Medicine Haifa Israel
  • Solange Oliveira Rodrigues Valle
    Urticaria Center of Reference and Excellence (UCARE) Federal University of Rio de Janeiro Department of Internal Medicine, Immunology Service Rio de Janeiro Brazil
  • Martijn B.A. Van Doorn
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology Erasmus MC Rotterdam The Netherlands
  • Christian Vestergaard
    Urticaria Center of Reference and Excellence (UCARE) Aarhus University Hospital Aarhus Denmark
  • Nicola Wagner
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology University of Erlangen Erlangen Germany
  • Dahu Wang
    Urticaria Center of Reference and Excellence (UCARE) Dermatovenerological Department The Second Hospital of HeBei Medical University Shijiazhuang, HeBei Province China
  • Liangchun Wang
    Urticaria Center of Reference and Excellence (UCARE Dermatology Department of Sun Yat‐sen Memorial Hospital Guangzhou China
  • Bettina Wedi
    Urticaria Center of Reference and Excellence (UCARE Department of Dermatology and Allergology Hannover Medical School Allergology Division Hannover Germany
  • Paraskevi Xepapadaki
    Urticaria Center of Reference and Excellence (UCARE) Department of Allergy 2nd Pediatric Clinic, National and Kapodistrian University of Athens Athens Greece
  • Esra Yücel
    Urticaria Center of Reference and Excellence (UCARE) Department of Pediatric Allergy and Immunology Istanbul Faculty of Medicine Istanbul University Istanbul Turkey
  • Anna Zalewska‐Janowska
    Urticaria Center of Reference and Excellence (UCARE) Chair of Clinical Immunology and Rheumatology Department of Psychodermatology Medical University of Lodz Lodz Poland
  • Zuotao Zhao
    Urticaria Center of Reference and Excellence (UCARE) Department of Dermatology and Venerology Peking University First Hospital Beijing Key Laboratory of molecular Diagnosis on Dermatoses and National Clinical Research Center for Skin and Immune Diseases Beijing China
  • Torsten Zuberbier
    Autoinflammation Reference Center Charité (ARC2) Charité ‐ Universitätsmedizin Berlin Berlin Germany
  • Marcus Maurer
    Urticaria Center of Reference and Excellence (UCARE) Dermatological Allergology Allergie‐Centrum‐Charité Department of Dermatology and Allergy Charité – Universitätsmedizin Berlin Germany

抄録

<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>The COVID‐19 pandemic dramatically disrupts health care around the globe. The impact of the pandemic on chronic urticaria (CU) and its management are largely unknown.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To understand how CU patients are affected by the COVID‐19 pandemic; how specialists alter CU patient management; and the course of CU in patients with COVID‐19.</jats:p></jats:sec><jats:sec><jats:title>Materials and Methods</jats:title><jats:p>Our cross‐sectional, international, questionnaire‐based, multicenter UCARE COVID‐CU study assessed the impact of the pandemic on patient consultations, remote treatment, changes in medications, and clinical consequences.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The COVID‐19 pandemic severely impairs CU patient care, with less than 50% of the weekly numbers of patients treated as compared to before the pandemic. Reduced patient referrals and clinic hours were the major reasons. Almost half of responding UCARE physicians were involved in COVID‐19 patient care, which negatively impacted on the care of urticaria patients. The rate of face‐to‐face consultations decreased by 62%, from 90% to less than half, whereas the rate of remote consultations increased by more than 600%, from one in 10 to more than two thirds. Cyclosporine and systemic corticosteroids, but not antihistamines or omalizumab, are used less during the pandemic. CU does not affect the course of COVID‐19, but COVID‐19 results in CU exacerbation in one of three patients, with higher rates in patients with severe COVID‐19.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The COVID‐19 pandemic brings major changes and challenges for CU patients and their physicians. The long‐term consequences of these changes, especially the increased use of remote consultations, require careful evaluation.</jats:p></jats:sec>

収録刊行物

  • Allergy

    Allergy 76 (3), 816-830, 2020-12-29

    Wiley

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