The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience

Chronic spontaneous urticaria (CSU) is known by spontaneous urticarial lesions and/or angioedema resisting ≥ 6 weeks. It is reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) enters the body and triggers urticaria and angioedema, and even might cause CSU. Although coronavirus...

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Main Authors: Öner Özdemir, Ümmügülsüm Dikici
Format: Article
Language:English
Published: Termedia Publishing House 2024-04-01
Series:Alergologia Polska
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Online Access:https://www.termedia.pl/The-effect-of-COVID-19-and-COVID-19-vaccines-on-chronic-spontaneous-urticaria-single-center-experience,123,53893,1,1.html
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author Öner Özdemir
Ümmügülsüm Dikici
author_facet Öner Özdemir
Ümmügülsüm Dikici
author_sort Öner Özdemir
collection DOAJ
description Chronic spontaneous urticaria (CSU) is known by spontaneous urticarial lesions and/or angioedema resisting ≥ 6 weeks. It is reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) enters the body and triggers urticaria and angioedema, and even might cause CSU. Although coronavirus disease 2019 (COVID-19) vaccines do not generally affect CSU patients, it has been observed that they occasionally exacerbate the disease. Here, we studied COVID-19, COVID-19 vaccines, and their effects on CSU cases. The records of 16 cases who mostly took omalizumab due to being resistant CSU cases were retrospectively reviewed. There was no problem with an inactivated (Sinovac ® ) vaccine. After mRNA (BioNTech ® ) vaccination, 2 of our patients had an exacerbation and even one had to switch to omalizumab. In 2 patients, CSU developed despite the absence of an urticaria-angioedema history and they were also unresponsive to standard antihistamine therapy and therefore had to be started on omalizumab. As a result, omalizumab had to be started in 3/8 patients after mRNA vaccination due to CSU exacerbation or treatment failure. It should be also kept in mind that SARS-CoV-2 infection and vaccination against it may exacerbate or trigger the disease in some patients.
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publishDate 2024-04-01
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spelling doaj-art-fec7269635e542b5a2c75771b311d0142025-01-27T10:34:44ZengTermedia Publishing HouseAlergologia Polska2353-38542391-60522024-04-0111218018310.5114/pja.2024.13849853893The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experienceÖner ÖzdemirÜmmügülsüm DikiciChronic spontaneous urticaria (CSU) is known by spontaneous urticarial lesions and/or angioedema resisting ≥ 6 weeks. It is reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) enters the body and triggers urticaria and angioedema, and even might cause CSU. Although coronavirus disease 2019 (COVID-19) vaccines do not generally affect CSU patients, it has been observed that they occasionally exacerbate the disease. Here, we studied COVID-19, COVID-19 vaccines, and their effects on CSU cases. The records of 16 cases who mostly took omalizumab due to being resistant CSU cases were retrospectively reviewed. There was no problem with an inactivated (Sinovac ® ) vaccine. After mRNA (BioNTech ® ) vaccination, 2 of our patients had an exacerbation and even one had to switch to omalizumab. In 2 patients, CSU developed despite the absence of an urticaria-angioedema history and they were also unresponsive to standard antihistamine therapy and therefore had to be started on omalizumab. As a result, omalizumab had to be started in 3/8 patients after mRNA vaccination due to CSU exacerbation or treatment failure. It should be also kept in mind that SARS-CoV-2 infection and vaccination against it may exacerbate or trigger the disease in some patients.https://www.termedia.pl/The-effect-of-COVID-19-and-COVID-19-vaccines-on-chronic-spontaneous-urticaria-single-center-experience,123,53893,1,1.htmlchronic spontaneous urticaria covid-19 sars-cov-2 vaccination
spellingShingle Öner Özdemir
Ümmügülsüm Dikici
The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience
Alergologia Polska
chronic spontaneous urticaria
covid-19
sars-cov-2
vaccination
title The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience
title_full The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience
title_fullStr The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience
title_full_unstemmed The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience
title_short The effect of COVID-19 and COVID-19 vaccines on chronic spontaneous urticaria: single center experience
title_sort effect of covid 19 and covid 19 vaccines on chronic spontaneous urticaria single center experience
topic chronic spontaneous urticaria
covid-19
sars-cov-2
vaccination
url https://www.termedia.pl/The-effect-of-COVID-19-and-COVID-19-vaccines-on-chronic-spontaneous-urticaria-single-center-experience,123,53893,1,1.html
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