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={A. Gibson and R. 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… Expand
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. Expand
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. Expand
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. Expand
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. Expand
Incremental build‐up food challenge – a new diagnostic approach to evaluate pseudoallergic reactions in chronic urticaria: a pilot study
The diagnostic value of subsequent traditional oral provocation tests with food additives in capsules remains unsatisfactory, but the remission rate of patients with chronic urticaria due to elimination diets varies between 31% and 71%. Expand
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. Expand
Chronic urticaria exacerbated by the antioxidant food preservatives, butylated hydroxyanisole (BHA) and butylated hydroxytoluene (BHT).
Two patients with chronic idiopathic urticaria in whom remissions were achieved with dye- and preservative-elimination diet had exacerbations of their urticaria when they were challenged underExpand
Effects of low pseudoallergen diet on urticarial activity and leukotriene levels in chronic urticaria
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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. Expand
The results of skin testing with food additives and the effect of an elimination diet in chronic and recurrent urticaria and recurrent angioedema
  • G. Malanin, K. 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. Expand


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Of 38 patients with chronic urticaria of unknown etiology who were evaluated for food and drug additive sensitivity, 53% had urticarial for 1 yr or more, and the frequency of atopy was found to be similar to that in a general population. Expand
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. ReactionsExpand
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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. Expand
Urticaria--current concepts.
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  • Medicine
  • Postgraduate medical journal
  • 1977
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Autosensitization and immune complexes in chronic idiopathic thrombocytopenic purpura.
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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). Expand
Chronic Urticaria: The Effect of Aspirin
Has}iiin<4(> a i u i iA>\rih i tMi \ ; nn i ru ' i l a r a r i e t y id' ap|)( ' iHla,i ; i ' l i i r n o u ! ' s l iy c l tK ' t ron i i i icros i -of iy a n d I n I n r i u ' i n i c i t lExpand
Aulosensitisation and immune complexes in chronic idiopathic thrombocytopenic purpura
  • British Journal oJ ' Haematologj ~ .
  • 1980