Management of chronic idiopathic urticaria by the identification and exclusion of dietary factors

  title={Management of chronic idiopathic urticaria by the identification and exclusion of dietary factors},
  author={Anne Gibson and Robert L Clancy},
  journal={Clinical \& Experimental Allergy},
The role played by dietary chemical factors in the pathogenesis of chronic idiopathic urticaria (CIU) was assessed in seventy‐six patients by challenge. Stable remission was first established by using an empirically established ‘exclusion diet’. A diet modified to exclude those chemicals giving a positive response to challenge was demonstrated to be of therapeutic value for time periods of up to 18 months. Re‐testing twelve patients at 12 months indicated that most patients positive to… 

An elimination diet for chronic urticaria of childhood

In selected cases, elimination diets with controlled reintroduction of foods have a role in the management of chronic urticaria in childhood.

Chronic urticaria: the autoimmune paradigm

Evidence indicates that at least a subset of patients in whom no extrinsic or internal cause can be identified are in fact autoimmune in origin, based mainly on the detection of pathogenic autoantibodies to the high‐affinity immunoglobulin E receptor FcɛR1, which are thought to activate cutaneous mast cells.

Food-Additive-Induced Urticaria: A Survey of 838 Patients with Recurrent Chronic Idiopathic Urticaria

The results confirmed that food additive hypersensitivity reactions occurred in few RCIU patients using DBPC single challenge, and seems to be of considerable practical interest for allergists, internists and dermatologists, rather than the data of clinical history and the results of DBPCsingle challenge, in patients with RCIU.

Role of nonallergic hypersensitivity reactions in children with chronic urticaria

The role of nonallergic hypersensitivity to food in all children seen with chronic continuous urticaria in the authors' two clinics over the last 2 years is investigated.

Pseudoallergic reactions in chronic urticaria are associated with altered gastroduodenal permeability

Investigating whether disturbances of the gastrointestinal barrier function play a role in the pathomechanism of the disease found that pseudoallergic reactions to food cause chronic urticaria.

Effects of low pseudoallergen diet on urticarial activity and leukotriene levels in chronic urticaria

In conclusion, low pseudoallergen diet helps to reduce the urticarial activity in CU and the change in urticaria activity correlates with thechange in LT levels.

Salicylate intolerance: a masquerader of multiple adverse drug reactions

A female in her early 50s presented with a long-standing history of episodic urticaria and angioedema, and also masqueraded as a drug allergy due to the concurrent ingestion of mints, which contain high levels of salicylates.

The results of skin testing with food additives and the effect of an elimination diet in chronic and recurrent urticaria and recurrent angioedema

  • G. MalaninK. Kalimo
  • Medicine
    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology
  • 1989
The results suggest that skin tests with food additives can be used to measure skin hyperreactivity and that they may have a predictive value in identifying patients who will respond to an additive‐free diet.

Prevalence of Helicobacter pylori–Associated Gastritis in Chronic Urticaria

Measurement of H. pylori–specific antibodies and/or gastroscopy should be included in the diagnostic management of chronic urticaria to identify patients who may profit from eradication treatment with disappearance of long–standing and annoying uricaria symptomatology.



Reactions to aspirin and food additives in patients with chronic urticaria, including the physical urticarias *

  • H. Doeglas
  • Medicine
    The British journal of dermatology
  • 1975
In 131 patients with chronic urticaria, including physical urticarias, oral provocation tests were done with aspirin. A total of thirty‐one patients showed a reaction on aspirin challenge. Reactions

Challenge test battery in chronic urticaria

The use of a battery of challenge tests in the routine investigation of patients with chronic urticaria has an important place, demonstrating an exacerbating factor in over half the patients. Diets


Preliminary information in urticaria suggests a use for this exclusion diet in some allergic conditions, and the basis for challenge with these additives and natural chemicals was provided.

Urticaria--current concepts.

  • A. Taaffe
  • Medicine
    Postgraduate medical journal
  • 1977
The mechanisms, clinical features and management of the various forms of urticaria are discussed. The importance of histamine receptors, complement and the kinin cascade are reviewed.

Urticaria induced by preservatives and dye additives in food and drugs

Recurrences of urticaria could be prevented through the avoidance of food and drugs containing azo dyes and preservatives, as well as aspirin, sulphanilic acid and a placebo.

Autosensitization and immune complexes in chronic idiopathic thrombocytopenic purpura.

It is concluded that most patients with ITP are sensitized to platelet-associated antigen, and have circulating immune complexes, and the contribution of these factors to Platelet destruction and the nature of the antigen in the complexes remain to be demonstrated.

Human embryo (12 mm) with mesohydronephrosis and ureterohydronephrosis.

This report describes a human embryo with a length of 12 mm, in which the following malformations appear: Dilation on both sides of the Wolffian ducts, and the more caudal mesonephritic glomerules (mesohydronephrosis).

Chronic Urticaria: The Effect of Aspirin

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