Хроническая крапивница может быть не только самостоятельным заболеванием, но и симптомом какого-либо хронического заболевания, зачастую аутоиммунного генеза. В статье рассмотрены клинические проявления крапивницы, механизм их возникновения, а также предложена тактика терапии данного заболевания. Приводятся собственные наблюдения по вопросу связи хронической крапивницы и боррелиоза, а также о возможности применения фексофенадина в терапии хронической идиопатической крапивницы.
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The article presents the clinical manifestations of urticaria, the mechanism of their occurrence and tactics of therapy of this disease. We present our own observations on the relationship of chronic urticaria and borreliosis, as well as the possibility of using fexofenadine in the treatment of chronic idiopathic urticaria.
1. Zuberbier Т et al. European Academy of Allergy and Clinical Immunology, Global Allergy and Asthma European Network, European Dermatology Forum, World Allergy Organization Allergy 2014; 69 (7): 868–87.
2. Saini SS. Chronic spontaneous urticaria: etiology and pathogenesis. Immunol Allergy Clin North Am 2014; 34: 33–52.
3. Greaves MW. Chronic urticaria. J Allergy Clin Immunol 2000; 105: 664–72.
4. Zuberbier T, Bindslev-Jensen C, Canonica W et al. EAACI/GA2LEN/EDF guideline: management of urticaria. Allergy 2006; 61: 321–31.
5. Kozel M, Sabroe R. Chronic Urticaria. Aetiology, management and current and future treatment options. Drug 2004; 64: 2516–36.
6. O`Donnell BF, Lawlor F, Simpson J et al. The impact of chronic urticaria on the quality of life. Br J Dermatol 1997; 136: 197.
7. Baiardini I, Giardini A, Pasquali M et al. Quality of life and patients’ satisfaction in chronic urticaria and respiratory allergy. Allergy 2003; 58 (7): 621–3.
8. Ring J, Brockow K, Ollert M, Engst R. Antihistamines in urticaria. Clin Exp Allergy 1999; 29 (Suppl. 11): 31–7.
9. Simons FER. Prevention of acute urticaria in young children with atopic dermatitis. J Allergy Clin Immunology 2001; 107 (4): 703–6.
10. Ryhal B, Demera RS, Choenfeld Y et al. Are autoantibodies present in patients with subacute and chronic urticaria? J Invest Clin Immunol 2001; 11: 16–20.
11. Bossi F, Frossi B, Radillo O et al. Mast cells are critically involved in serum- mediated vascular leakage in chronic urticaria beyond high-affinity IgE receptor stimulation. Allergy 2011; Sep 12. Epub ahead of print.
12. Tong LJ, Balakrishnan G, Kochan JP et al. Assessment of autoimmunity in patients with chronic urticaria. J Allergy Clin Immunol 1997; 99 (4): 461–5.
13. Staubach P, Onnen K, Vonend A et al. Autologous whole blood injections to patients with chronic urticaria and a positive autologous serum skin test: a placebo-controlled trial. Dermatology 2006; 212 (2): 150–5.
14. Kikuchi Y, Kaplan AP. Mechanisms of autoimmune activation of basophils in chronic urticaria. J Allergy Clin Immunol 2001; 107 (6): 1056–62.
15. Spector J, Lilly S, Nemirovsky D et al. Prodromal Urticaria with Seronegative Rheumatoid Arthritis. J Clin Rheumatol 1997; 3 (4): 234–6.
16. Levine A, Dalal I, Bujanover Y. Celiac Disease Associated With Familial Chronic Urticaria and Thyroid Autoimmunity. Child Pediatrics 1999; 104 (2): e25.
17. Sabroe RA, Seed PT, Francis DM et al. Chronic idiopathic urticaria: comparison of the clinical features of patients with and without FcεRI or anti-IgE autoantibodies. J Am Acad Dermatol 1999; 40 (3): 443–50.
18. Федеральные клинические рекомендации по диагностике и лечению крапивницы. РААКИ. 2018. / Federalnye klinicheskie rekomendacii po diagnostike i lecheniyu krapivnicy. RAAKI. 2018. [in Russian]
19. The EAACI/GAZLEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Allergy 2014. The 2017 Revision and Update. Allergy 2018.
20. BSACI guideline for the management of chronic urticaria and angioedema. Clin Exp Allergy 2015; 45: 547–65.
21. Sánchez J, Zakzuk J, Cardona R. Prediction of the Efficacy of Antihistamines in Chronic Spontaneous Urticaria Based on Initial Suppression of the Histamine-Induced Wheal. J Investig Allergol Clin Immunol 2016; 26 (3): 177–84. DOI: 10.18176/jiaci.0039
22. Dhanya NB, Thasleem Z, Rai R, Srinivas CR. Comparative efficacy of levocetirizine, desloratidine and fexofenadine by histamine wheal suppression test. Indian J Dermatol Venereol Leprol 2008.
23. Meltzer EO, Gillman SA. Efficacy of fexofenadine versus desloratadine in suppressing histamine-induced wheal and flare. Allergy Asthma Proc 2007; 28: 67–73.
24. Астафьева Н.Г., Гамова И.В., Удовиченко Е.Н., Перфилова И.А. Левоцетиризин: современные аспекты применения при аллергических заболеваниях с точки зрения доказательной медицины. Лечащий врач. 2010; 5: 65. / Астафьева Н.Г., Гамова И.В., Удовиченко Е.Н., Перфилова И.А. Левоцетиризин: современные аспекты применения при аллергических заболеваниях с точки зрения доказательной медицины. Лечащий врач. 2010; 5: 65. [in Russian]
25. Spector SL, Shikiar R, Harding G et al. The effect of fexofenadine hydrochloride on productivity and quality of life in patients with chronic idiopathic urticaria. Cutis 2007; 79 (2): 157–62.
26. Molimard M, Diquet B. Comparison of pharmacokinetics and metabolism of desloratadine, fexofenadine, levocetirizine and mizolastine in humans. Fundam Clin Pharmacol 2004; 18 (4): 399–411.
27. A del Cuvillo et al. Comparative pharmacology of the H1 antihistamine. J Investig Allergol Clin Immunol 2006; 16 (Suppl. 1): 3–12.
28. Пономарева А.В., Некрасова Е.Е., Разваляева О.В. Сравнительная эффективность антиаллергической терапии хронической крапивницы у взрослых. Волгоградский науч.-мед. журн. 2012; 4 (36): 19–21. / Ponomareva A.V., Nekrasova E.E., Razvalyaeva O.V. Sravnitelnaya effektivnost antiallergicheskoj terapii hronicheskoj krapivnicy u vzroslyh. Volgogradskij nauch.-med. zhurn. 2012; 4 (36): 19–21. [in Russian]
29. Vacchiano Ch, Moore J, Rice GM, Crawley G. Fexofenadine effects on cognitive performance in aviators at ground level and simulated altitude. Aviat Space Environ Med 2008; 79 (8).
30. Tanizaki H, Nakahigashi K, Miyachi Y, Kabashima K. Comparison of the efficacy of fexofenadine 120 and 240 mg/day on chronic idiopathic urticaria and histamine-induced skin responses in Japanese populations. J Dermatolog Treat 2013; 24 (6): 477–80. DOI: 10.3109/09546634.2013.789472
________________________________________________
1. Zuberbier Т et al. European Academy of Allergy and Clinical Immunology, Global Allergy and Asthma European Network, European Dermatology Forum, World Allergy Organization Allergy 2014; 69 (7): 868–87.
2. Saini SS. Chronic spontaneous urticaria: etiology and pathogenesis. Immunol Allergy Clin North Am 2014; 34: 33–52.
3. Greaves MW. Chronic urticaria. J Allergy Clin Immunol 2000; 105: 664–72.
4. Zuberbier T, Bindslev-Jensen C, Canonica W et al. EAACI/GA2LEN/EDF guideline: management of urticaria. Allergy 2006; 61: 321–31.
5. Kozel M, Sabroe R. Chronic Urticaria. Aetiology, management and current and future treatment options. Drug 2004; 64: 2516–36.
6. O`Donnell BF, Lawlor F, Simpson J et al. The impact of chronic urticaria on the quality of life. Br J Dermatol 1997; 136: 197.
7. Baiardini I, Giardini A, Pasquali M et al. Quality of life and patients’ satisfaction in chronic urticaria and respiratory allergy. Allergy 2003; 58 (7): 621–3.
8. Ring J, Brockow K, Ollert M, Engst R. Antihistamines in urticaria. Clin Exp Allergy 1999; 29 (Suppl. 11): 31–7.
9. Simons FER. Prevention of acute urticaria in young children with atopic dermatitis. J Allergy Clin Immunology 2001; 107 (4): 703–6.
10. Ryhal B, Demera RS, Choenfeld Y et al. Are autoantibodies present in patients with subacute and chronic urticaria? J Invest Clin Immunol 2001; 11: 16–20.
11. Bossi F, Frossi B, Radillo O et al. Mast cells are critically involved in serum- mediated vascular leakage in chronic urticaria beyond high-affinity IgE receptor stimulation. Allergy 2011; Sep 12. Epub ahead of print.
12. Tong LJ, Balakrishnan G, Kochan JP et al. Assessment of autoimmunity in patients with chronic urticaria. J Allergy Clin Immunol 1997; 99 (4): 461–5.
13. Staubach P, Onnen K, Vonend A et al. Autologous whole blood injections to patients with chronic urticaria and a positive autologous serum skin test: a placebo-controlled trial. Dermatology 2006; 212 (2): 150–5.
14. Kikuchi Y, Kaplan AP. Mechanisms of autoimmune activation of basophils in chronic urticaria. J Allergy Clin Immunol 2001; 107 (6): 1056–62.
15. Spector J, Lilly S, Nemirovsky D et al. Prodromal Urticaria with Seronegative Rheumatoid Arthritis. J Clin Rheumatol 1997; 3 (4): 234–6.
16. Levine A, Dalal I, Bujanover Y. Celiac Disease Associated With Familial Chronic Urticaria and Thyroid Autoimmunity. Child Pediatrics 1999; 104 (2): e25.
17. Sabroe RA, Seed PT, Francis DM et al. Chronic idiopathic urticaria: comparison of the clinical features of patients with and without FcεRI or anti-IgE autoantibodies. J Am Acad Dermatol 1999; 40 (3): 443–50.
18. Federalnye klinicheskie rekomendacii po diagnostike i lecheniyu krapivnicy. RAAKI. 2018.
19. The EAACI/GAZLEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Allergy 2014. The 2017 Revision and Update. Allergy 2018.
20. BSACI guideline for the management of chronic urticaria and angioedema. Clin Exp Allergy 2015; 45: 547–65.
21. Sánchez J, Zakzuk J, Cardona R. Prediction of the Efficacy of Antihistamines in Chronic Spontaneous Urticaria Based on Initial Suppression of the Histamine-Induced Wheal. J Investig Allergol Clin Immunol 2016; 26 (3): 177–84. DOI: 10.18176/jiaci.0039
22. Dhanya NB, Thasleem Z, Rai R, Srinivas CR. Comparative efficacy of levocetirizine, desloratidine and fexofenadine by histamine wheal suppression test. Indian J Dermatol Venereol Leprol 2008.
23. Meltzer EO, Gillman SA. Efficacy of fexofenadine versus desloratadine in suppressing histamine-induced wheal and flare. Allergy Asthma Proc 2007; 28: 67–73.
24. Астафьева Н.Г., Гамова И.В., Удовиченко Е.Н., Перфилова И.А. Левоцетиризин: современные аспекты применения при аллергических заболеваниях с точки зрения доказательной медицины. Лечащий врач. 2010; 5: 65.
25. Spector SL, Shikiar R, Harding G et al. The effect of fexofenadine hydrochloride on productivity and quality of life in patients with chronic idiopathic urticaria. Cutis 2007; 79 (2): 157–62.
26. Molimard M, Diquet B. Comparison of pharmacokinetics and metabolism of desloratadine, fexofenadine, levocetirizine and mizolastine in humans. Fundam Clin Pharmacol 2004; 18 (4): 399–411.
27. A del Cuvillo et al. Comparative pharmacology of the H1 antihistamine. J Investig Allergol Clin Immunol 2006; 16 (Suppl. 1): 3–12.
28. Ponomareva A.V., Nekrasova E.E., Razvalyaeva O.V. Sravnitelnaya effektivnost antiallergicheskoj terapii hronicheskoj krapivnicy u vzroslyh. Volgogradskij nauch.-med. zhurn. 2012; 4 (36): 19–21.
29. Vacchiano Ch, Moore J, Rice GM, Crawley G. Fexofenadine effects on cognitive performance in aviators at ground level and simulated altitude. Aviat Space Environ Med 2008; 79 (8).
30. Tanizaki H, Nakahigashi K, Miyachi Y, Kabashima K. Comparison of the efficacy of fexofenadine 120 and 240 mg/day on chronic idiopathic urticaria and histamine-induced skin responses in Japanese populations. J Dermatolog Treat 2013; 24 (6): 477–80. DOI: 10.3109/09546634.2013.789472
Авторы
И.М.Корсунская*1, Е.В.Дворянкова1, З.А.Невозинская2
1. ФГБУН «Центр теоретических проблем физико-химической фармакологии» РАН. 119991, Россия, Москва, Ленинский пр-т,
д. 38а, корп. 1;
2. ГБУЗ «Московский научно-практический центр дерматовенерологии и косметологии» Департамента здравоохранения г. Москвы. 119071, Россия, Москва, Ленинский
пр-т, д. 17
*marykor@bk.ru
________________________________________________
I.M.Korsunskaya*1, E.V.Dvoryankova1, Z.A.Nevozinskaya2
1. Center for Theoretical Problems of Physicochemical Pharmacology of the Russian Academy of Sciences. 119991, Russian Federation, Moscow, Leninskiy pr-t, d. 38a, korp. 1;
2. Moscow Scientific and Practical Center of Dermatology and Venereology and Cosmetology of the Department of Health of Moscow. 119071, Russian Federation, Moscow, Leninskiy pr-t, d. 17
*marykor@bk.ru