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  • Presentation

Urticaria and Diet

Description

The talk delves into chronic spontaneous urticaria (CSU), a condition affecting approximately 1% of the worldwide population, predominantly women. The speaker emphasizes the complexity of diagnosing and managing CSU, particularly regarding the relevance of diet. While there's a common belief among patients that food sensitivities could trigger CSU, studies show that actual food allergies are rare, demonstrating a disconnect between patient perception and factual evidence. Research suggests a potential link between diet—especially adherence to a Mediterranean diet—and improved outcomes for CSU patients. Evidence indicates that higher Mediterranean diet scores correlate with less severe urticaria. The speaker also discusses various dietary considerations, such as avoiding histamine-rich foods and alcohol, while noting the ineffectiveness and risks of rigid elimination diets. Furthermore, the talk touches on the importance of combined therapy options, emphasizing that changes in lifestyle, though challenging, are a viable adjunct to conventional treatments, potentially increasing patient confidence in a holistic approach. Ultimately, the speaker advocates for a balanced perspective on diet in CSU management, encouraging careful evaluation of food impacts while prioritizing effective medical intervention.

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Conclusions

  • Chronic spontaneous urticaria affects about 1% of the global population, with a higher prevalence in women.
  • Many cases of chronic spontaneous urticaria are self-limiting, but 10% can persist longer than five years.
  • Identifying triggers in acute urticaria is possible in 20%-90% of cases, commonly involving food allergens.
  • Dietary factors such as Vitamin D can potentially play a supportive role in managing chronic spontaneous urticaria.
  • Patients often perceive food sensitivities that are not supported by testing, highlighting a gap in understanding.
  • The Mediterranean diet appears to correlate with better outcomes in chronic spontaneous urticaria patients.
  • Systematic diets have had low response rates compared to personalized diets among patients with chronic spontaneous urticaria.
  • Low histamine diets may benefit certain patients, particularly those with specific triggers or low DAO levels.
  • Avoiding certain foods, such as tomatoes, alcohol, and seafood, can help manage symptoms for some patients.
  • Elimination diets should be continued for at least three weeks to assess their effectiveness before further dietary changes.
  • The Full Spectrum of Dermatology: A Diverse and Inclusive Atlas. Ed. Eleryan and Friedman. Sanova Works LLC. 2021, 169 p.
  • Immunol Allergy Clin North Am. 2014;34:33-52.
  • Clin Rev Allergy Immunol. 2002;23:147-169.
  • J Investig Allergol Clin Immunol 2014; Vol. 24(2): 122-141
  • Zuberbier T et al. Allergy. 2022;77:734-766.
  • Goncalo M et al. Br J Dermatol. 2021;184:226-236.
  • Dias G et al. An Bras Dermatol. 2016;91:754-759.
  • Yu Ri Woo, Kyung Eun Jung, Dae Won Koo, Joong Sun Lee. Department of Dermatology, Eulji University School of Medicine, Daejeon, Korea. Ann Dermatol Vol. 27, No. 4, 2015. http://dx.doi.org/10.5021/ad.2015.27.4.423
  • Hindawi. Dermatology Research and Practice Volume 2018, Article ID 6703052, 6 pages. https://doi.org/10.1155/2018/6703052
  • Panagiotakos DB, Pitsavos C, Arvaniti F, Stefanadis C. Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med. 2007 Apr; 44(4):335-40. PubMed PMID: 17350085.
  • Journal of Immunology Research Hindawi Volume 2022, Article ID 5243825, 7 pages. https://doi.org/10.1155/2022/5243825
  • Marcus Maurer X, Celia Costa, AnaMaria Gimenez Arnau, Gerard Guillet, Moises Labrador-Horrillo, Hilde Lapeere, Raisa Meshkova, Sinisa Savic, Nadine Chapman-Rothe. First published: 31 July 2020 | https://doi.org/10.1111/cea.13716 | Citations: 39.