eISSN: 2391-6052
ISSN: 2353-3854
Alergologia Polska - Polish Journal of Allergology
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Suplementy Zeszyty specjalne Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
1/2023
vol. 10
 
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Artykuł oryginalny

Wpływ stresu na wystąpienie przewlekłej pokrzywki spontanicznej u osób starszych

Nida Öztop
1
,
Şengül Beyaz
2

  1. Division of Adult Immunology and Allergic Diseases, İstanbul Başakşehir Çam and Sakura City Hospital, İstanbul, Turkey
  2. Division of Adult Immunology and Allergic Diseases, Ankara City Hospital, Ankara, Turkey
Alergologia Polska – Polish Journal of Allergology 2023; 10, 1: 57–62
Data publikacji online: 2023/03/14
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Introduction:
Chronic spontaneous urticaria (CSU) can occur at every age, however, knowledge of the elderly with CSU is limited.

Aim:
To examine the relationship between the onset of CSU and previous stressful life events, disease activity, and perceived general stress in the elderly age group.

Material and methods:
A hundred and sixty-four elderly patients with CSU were included. To evaluate urticaria activity, Turkish-validated seven days Urticaria Activity Score (UAS7) was used. Patients were questioned by physicians to respond “yes” or “no” to evaluate having stress, and their opinion on the relationship between a stressful event and onset of urticaria. Severity of stress level was assessed by using 10-point Visual Analogue Scale (VAS). Patients were divided into two groups according to the VAS. VAS ≤ 5 and > 5 were considered as patients with no stress (Group 1, n = 66), and patients with stress (Group 2, n = 98), respectively.

Results:
A hundred patients had at least one stressful life event within three months of the onset of CSU. There was a strong correlation between having stress and onset of CSU (r = 0.871, p < 0.001), a positive correlation was determined between VAS and UAS7 (r = 0.418, p < 0.001). Concomitant disease history and UAS7 were significantly higher in Group 2 than in Group 1 (p = 0.018 and p < 0.001, respectively).

Conclusions:
Stressful life events and perceived high stress may be a trigger for CSU in the elderly. To control CSU in the elderly, having stressful life events should be questioned and multidisciplinary management including psychiatry consultation should be done.



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