Acquired angioedema and Helicobacter pylori infection in a child

Varvařovská, J; Sýkora, Josef; Stožický, F; Chytra, Ivan

doi:10.1007/s00431-003-1250-7

Cited by 11 publications

(6 citation statements)

References 6 publications

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“…In addition, two cases with acquired C1-Esterase-Inhibitor deficiency due to autoantibodies have been associated with Helicobacter pylori infection [65,66]. …”

Section: Introductionmentioning

confidence: 99%

Urticaria and infections

Wedi

Raap

Wieczorek

et al. 2009

All Asth Clin Immun

174

138

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Urticaria is a group of diseases that share a distinct skin reaction pattern. Triggering of urticaria by infections has been discussed for many years but the exact role and pathogenesis of mast cell activation by infectious processes is unclear. In spontaneous acute urticaria there is no doubt for a causal relationship to infections and all chronic urticaria must have started as acute. Whereas in physical or distinct urticaria subtypes the evidence for infections is sparse, remission of annoying spontaneous chronic urticaria has been reported after successful treatment of persistent infections. Current summarizing available studies that evaluated the course of the chronic urticaria after proven Helicobacter eradication demonstrate a statistically significant benefit compared to untreated patients or Helicobacter-negative controls without urticaria (p < 0.001). Since infections can be easily treated some diagnostic procedures should be included in the routine work-up, especially the search for Helicobacter pylori. This review will update the reader regarding the role of infections in different urticaria subtypes.

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“…In addition, two cases with acquired C1-Esterase-Inhibitor deficiency due to autoantibodies have been associated with Helicobacter pylori infection [65,66]. …”

Section: Introductionmentioning

confidence: 99%

Urticaria and infections

Wedi

Raap

Wieczorek

et al. 2009

All Asth Clin Immun

174

138

View full text Add to dashboard Cite

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“…Regarding clinical data to support such treatment, there are rare case reports to suggest that eradication of H. pylori can help idiopathic angioedema [4]. However, given the similarities between chronic urticaria and idiopathic angioedema, is it reasonable to review the evidence that eradication of H. pylori can help patients with chronic urticaria?…”

Section: International Discussionmentioning

confidence: 99%

“…Moreira et al (2004) found that the occurrence of H. pylori in children represents an odds ratio of 4 for developing urticaria [13]. H. pylori had also been reported as a worsening factor for Hereditary Angioedema [4,12]. …”

Section: International Discussionmentioning

confidence: 99%

Case Title: 45 year-old male with recurrent angioedema: WAO international case-based discussions

Leiding

Beakes

Dreskin

et al. 2014

World Allergy Organization Journal

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“…Angioedema, which are often located in the oropharynx, can occur within several weeks after initiation of treatment or after several years of intake [38]. Recurrent angioedema without wheals may be caused by hereditary or acquired C1-esterase inhibitor deficiency or dysfunction, drugs (particularly ACE inhibitiors and ATII receptor antagonists) [39,40], and also persistent infections (e.g., H. pylori-associated gastritis or yersiniosis) [41][42][43].…”

Section: • Antinuclear Antibodiesmentioning

confidence: 99%

Chronic urticaria: assessment of current treatment

Wedi¹,

Kapp²

2005

Expert Review of Clinical Immunology

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Chronic urticaria is heterogenous, long-persisting and has a severe impact on quality of life and daily work. Effective treatment is essential but remains a confounding problem. This review summarizes available treatment strategies for chronic urticaria and their strength of evidence. Besides treatment of identified triggering factors such as chronic persistent bacterial infections (e.g., with Helicobacter pylori, streptococci, staphylococci or yersinia), standard treatment consists of nonsedating H1-antihistamines. Most patients require increasing (off-label) dosages that should be taken daily and regularly, however, this still fails in a third of cases. Reliable alternatives in the world literature are rare and the level of evidence is low. Certain subgroups may display benefit from additional treatment with cyclosporine A, cysteinyl leukotriene receptor antagonists, chloroquine, dapsone or other alternatives. A practicable step-wise treatment approach is given to optimize and individualize the treatment of patients with chronic urticaria.

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Acquired angioedema and Helicobacter pylori infection in a child

Abstract: Helicobacter pylori infection should be considered in the development of angioedema in childhood.

Cited by 11 publications

References 6 publications

Urticaria and infections

Urticaria and infections

Case Title: 45 year-old male with recurrent angioedema: WAO international case-based discussions

Chronic urticaria: assessment of current treatment

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