The global impact of the COVID-19 pandemic on the management and course of chronic urticaria
Kocatürk, Emek (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Koç University School of Medicine)
Salman, Andaç (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Marmara University School of Medicine)
Cherrez-Ojeda, Ivan (Urticaria Center of Reference and Excellence (UCARE). School of Medicine. Universidad de Especialidades Espíritu Santo. Samborondón. Ecuador and RespiraLab)
Criado, Paulo Ricardo (UCARE Center)
Peter, Jonny (Urticaria Center of Reference and Excellence (UCARE). Division of Allergy and Clinical Immunology. Department of Medicine. University of Cape Town)
Comert-Ozer, Elif (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Marmara University School of Medicine)
Abuzakouk, Mohamed (Cleveland Clinic Abu Dhabi)
Câmara Agondi, Rosana (Universidade São Paulo. Urticaria Center of Reference and Excellence (UCARE))
Al-Ahmad, Mona (Urticaria Center of Reference and Excellence (UCARE). Microbiology Department. Faculty of Medicine. Kuwait University)
Altrichter, Sabine (Charité - Universitätsmedizin Berlin)
Arnaout, Rand (Urticaria Al Faisal University. King Faisal Specialist Hospital & Research Center)
Arruda, Luisa Karla (University of São Paulo. Preto Medical School.)
Asero, Riccardo (Urticaria Center of Reference and Excellence (UCARE). Ambulatorio di Allergologia. Clinica San Carlo)
Bauer, Andrea (University Hospital Carl Gustav Carus)
Ben-Shoshan, Moshe (McGill University Health Center)
Bernstein, Jonathan (University of Cincinnati College of Medicine)
Bizjak, Mojca (Urticaria Center of Reference and Excellence (UCARE). Division of Allergy. University Clinic of Respiratory and Allergic Diseases Golnik)
Boccon-Gibod, Isabelle (Urticaria Center of Reference and Excellence (UCARE). Clinical Immunology/Internal Medicine Department. National Reference Center for Angioedema. Grenoble University Hospital)
Bonnekoh, Hanna (Charité - Universitätsmedizin Berlin)
Bouillet, Laurence (Urticaria Center of Reference and Excellence (UCARE). Clinical Immunology/Internal Medicine Department. National Reference Center for Angioedema. Grenoble University Hospital)
Brzoza, Zenon (Urticaria Center of Reference and Excellence (UCARE). Department of Internal Medicine with Division of Allergology. Institute of Medical Sciences. University of Opole)
Busse, Paula (Urticaria Center of Reference and Excellence (UCARE). Division of Clinical Immunology and Allergy. Icahn School at Mount Sinai)
Campos, Regis A. (Serviço de Imunologia. Hospital das Clínicas Edgard Santos)
Carne, Emily (Urticaria Center of Reference and Excellence (UCARE). University Hospital of Wales)
Conlon, Niall (Urticaria Center of Reference and Excellence (UCARE). Department of Immunology. St James's Hospital and Trinity College.)
Criado, Roberta Fachini Jardim (Urticaria Center of Reference and Excellence (UCARE). Faculdade de Medicina do ABC (FMABC))
De Souza Lima, Eduardo Magalhães (Urticaria Center of Reference and Excellence. (UCARE). Faculdade de Ciências. Médicas e da Saúde de Juiz de Fora (SUPREMA))
Demir, Semra (Urticaria Center of Reference and Excellence (UCARE). Division of Allergy. Department of Internal Medicine. Istanbul Faculty of Medicine. Istanbul University)
Dissemond, Joachim (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Venereology and Allergology. University of Essen)
Doğan Günaydın, Sibel (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology and Venereology. Faculty of Medicine. Hacettepe University)
Dorofeeva, Irina (Urticaria Center of Reference and Excellence (UCARE). Department of Allergy and Immunotherapy. Institute of Immunology. FMBA of Russia)
Ensina, Luis Felipe (Urticaria Center of Reference and Excellence (UCARE). Division of Allergy. Clinical Immunology and Rheumatology. Department of Pediatrics. Federal University of São Paulo)
Ertaş, Ragip (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Kayseri City Education and Research Hospital)
Ferrucci, Silvia Mariel (Urticaria Center of Reference and Excellence (UCARE). Ambulatorio di Dermatologia Allergologica e Professionale. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico)
Figueras-Nart, Ignasi (Institut d'Investigació Biomèdica de Bellvitge)
Fomina, Daria (I.M. Sechenov First Moscow State Medical University. Department of Allergology and Clinical Immunology)
Franken, Sylvie M. (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Amsterdam UMC)
Fukunaga, Atsushi (Urticaria Center of Reference and Excellence (UCARE). Division of Dermatology. Kobe University. Graduate School of Medicine)
Giménez-Arnau, Ana M 1961- (Institut Hospital del Mar d'Investigacions Mèdiques)
Godse, Kiran (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. D Y. Patil University School of Medicine)
Gonçalo, Margarida (Urticaria Center of Reference and Excellence (UCARE). Centro Hospitalar Universitário Coimbra and Faculty of Medicine. University of Coimbra)
Gotua, Maia (Urticaria Center of Reference and Excellence (UCARE. Center of Allergy and Immunology)
Grattan, Clive (Guy's and St Thomas' NHS Foundation Trust (Regne Unit))
Guillet, Carole (Urticaria Center of Reference and Excellence (UCARE). Allergy Unit. Department of Dermatology. University Hospital of Zurich)
Inomata, Naoko (Urticaria Center of Reference and Excellence (UCARE). Department of Environmental Immuno-Dermatology. Yokohama City University Graduate School of Medicine)
Jakob, Thilo (Justus Liebig Universität Giessen)
Karakaya, Gul (Urticaria Center of Reference and Excellence (UCARE). School of Medicine. Department of Chest Diseases. Adult Allergy Unit. Hacettepe University)
Kasperska-Zając, Alicja (Urticaria Center of Reference and Excellence (UCARE). European Center for Diagnosis and Treatment of Urticaria. Medical University of Silesia)
Katelaris, Constance H. (Urticaria Center of Reference and Excellence (UCARE). Immunology & Allergy Unit. Department of Medicine. Campbelltown Hospital)
Košnik, Mitja (Urticaria Center of Reference and Excellence (UCARE). Division of Allergy. University Clinic of Respiratory and Allergic Diseases Golnik)
Krasowska, Dorota (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Venereology and Pediatric Dermatology. Medical University of Lublin)
Kulthanan, Kanokvalai (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Faculty of Medicine Siriraj Hospital. Mahidol University)
Kumaran, M.Sendhil (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Postgraduate Institute of Medical Education and Research)
Lang, Claudia (Urticaria Center of Reference and Excellence (UCARE). Allergy Unit. Department of Dermatology. University Hospital of Zurich)
Larco-Sousa, José Ignacio (Urticaria Center of Reference and Excellence (UCARE))
Lazaridou, Elizabeth (George Papanicolaou General Hospital (Tessalònica, Grècia))
Leslie, Tabi Anika (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Royal Free Hospital)
Lippert, Undine (Urticaria Center of Reference and Excellence (UCARE. Department of Dermatology. Medical Center of University Goettingen)
Calderón llosa, Oscar (Urticaria Center of Reference and Excellence (UCARE). Department of Allergy. SANNA el Golf)
Makris, Michael (Attikon University General Hospital)
Marsland, Alexander (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. The Urticaria Clinic. Salford Royal Foundation Trust. University of Manchester)
Medina, Iris V. (Urticaria Center of Reference and Excellence (UCARE). Allergy and Clinical Immunology Department. Centro Médico Vitae. de Julio)
Meshkova, Raisa (Urticaria Center of Reference and Excellence (UCARE). Department of Clinical Immunology and Allergology. Smolensk State Medical University)
Bastos Palitot, Esther (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Hospital Universitário Lauro Wanderley)
Parisi, Claudio A.S. (Urticaria Center of Reference and Excellence (UCARE). Adults and Pediatrics Allergy Unit. Hospital Italiano de Buenos Aires)
Pickert, Julia (Urticaria Center of Reference and Excellence (UCARE). Clinical & Experimental Allergology. Department of Dermatology and Allergology. Philipps University Marburg)
Ramon, Germán D. (Urticaria Center of Reference and Excellence (UCARE). Instituto de Alergia e Inmunologia del Sur)
Rodríguez-Gonzalez, Mónica (Urticaria Center of Reference and Excellence (UCARE). Department of Allergy. Hospital Español de México)
Rosario, Nelson (Urticaria Center of Reference and Excellence (UCARE). Federal University of Parana. Rua General Carneiro)
Rudenko, Michael (Urticaria Center of Reference and Excellence (UCARE). London Allergy and Immunology Centre)
Rutkowski, Krzysztof (Urticaria Center of Reference and Excellence (UCARE). Department of Allergy. Guy's and St Thomas' Hospital NHS Foundation Trust)
Sánchez Caraballo, Jorge Mario (Universidad de Antioquía. Department of Pediatrics)
Schliemann, Sibylle (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. University Hospital Jena)
Sekerel, Bulent Enis (Hacettepe University Faculty of Medicine)
Serpa, Faradiba S. (Hospital Santa Casa de Misericórdia de Vitória)
Serra-Baldrich, E (Institut d'Investigació Biomèdica Sant Pau)
Song, Zhiqiang (Army Medical University)
Soria, Angèle (Urticaria Center of Reference and Excellence (UCARE). Service de Dermatologie et Allergologie. Hopital Tenon. APHP. Université)
Staevska, Maria (Sofia Medical University)
Staubach, Petra (University Medical Center Mainz)
Tagka, Anna (National and Kapodistrian University of Athens. "A. Syggros" Hospital. Referral Center of Occupational Dermatological Diseases)
Takahagi, Shunsuke (Hiroshima University. Graduate School of Biomedical and Health Sciences)
Thomsen, Simon Francis (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Bispebjerg Hospital)
Treudler, Regina (Leipzig Interdisciplinary Center of Allergology)
Vadasz, Zahava (Urticaria Bnai-Zion Medical Center. Technion Faculty of Medicine)
Rodrigues Valle, Solange Oliveira (Federal University of Rio de Janeiro. Department of Internal Medicine)
Van Doorn, Martijn B.A. (Urticaria Center of Reference and Excellence (UCARE). Department of Dermatology. Erasmus MC)
Vestergaard, Christian (Aarhus University Hospital (Aarhus, Dinamarca))
Wagner, Nicola (University of Erlangen)
Wang, Dahu (The Second Hospital of HeBei Medical University)
Wang, Liangchun (Sun Yat-sen Memorial Hospital)
Wedi, Bettina (Hannover Medical School)
Xepapadaki, Paraskevi (National and Kapodistrian University of Athens)
Yücel, Esra (Istanbul University. Department of Pediatric Allergy and Immunology)
Zalewska-Janowska, Anna (Medical University of Lodz)
Zhao, Zuotao (Peking University First Hospital)
Zuberbier, Torsten (Charité - Universitätsmedizin Berlin)
Maurer, Marcus (Charité - Universitätsmedizin Berlin)
Universitat Autònoma de Barcelona

Date:	2021
Abstract:	Introduction: 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. Aim: 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. Materials and Methods: 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. Results: 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. Conclusions: 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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Chronic urticaria ; COVID-19 ; Cyclosporine ; Omalizumab ; Pandemic ; SARS-CoV-2 ; Treatment ; UCARE
Published in:	Allergy, Vol. 76 Núm. 3 (march 2021) , p. 816-830, ISSN 1398-9995

DOI: 10.1111/all.14687
PMID: 33284457

15 p, 1.2 MB

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