PMID- 27004766 OWN - NLM STAT- MEDLINE DCOM- 20170501 LR - 20170501 IS - 1468-3083 (Electronic) IS - 0926-9959 (Linking) VI - 30 IP - 9 DP - 2016 Sep TI - Chronic urticaria and hormones: Is there a link? PG - 1527-30 LID - 10.1111/jdv.13644 [doi] AB - BACKGROUND: While the role of oestrogens in bradykinin angioedema (AE) has been clearly demonstrated, scarce data are available about the role of sex hormones in chronic urticaria (CU). OBJECTIVES: To gather information from a population of women with various forms of CU [chronic spontaneous urticaria (CSU), including a subtype of isolated histaminic AE and a classic subtype of association of wheals and AE, and exclusive inducible urticaria (IU)] about the impact of sex hormones and reproductive factors on their symptoms. METHODS: This was a cross-sectional study comprising interviews of 200 women consulting for CU at nine centres throughout France between May and July 2013. The dermatologists filled in an online questionnaire on the impact of reproductive factors (puberty, contraception and pregnancy) and hormonal treatments on the course of CU, including CSU and IU, in the presence of the women. RESULTS: Most of the women did not experience CU before puberty and if so, puberty did not influence the course of CU. Only 16 women had experienced a pregnancy during CU which caused a worsening of symptoms in four. Hormonal contraception was associated with aggravation in a minority of women, mostly women with CSU (10%). Women with isolated histaminic AE did not exhibit any female sex hormone dependency. CONCLUSIONS: It would appear that sex hormones act as a trigger in only a small subset of women with CU. Nevertheless, this should be taken into account to improve patient management. CI - (c) 2016 European Academy of Dermatology and Venereology. FAU - Amsler, E AU - Amsler E AD - Service de Dermatologie-Allergologie, Hopital Tenon, HUEP, APHP, Paris, France. AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. FAU - Augey, F AU - Augey F AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Universite Lyon1, INSERM U1111 - CIRI, Hopitaux de Lyon, CH Lyon-Sud, Lyon, France. FAU - Soria, A AU - Soria A AD - Service de Dermatologie-Allergologie, Hopital Tenon, HUEP, APHP, Paris, France. AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Sorbonne Universites, UPMC Univ Paris 06, Unite Mixte de Recherche de Sante (UMR S) CR7, Centre d'Immunologie et des Maladies Infectieuses - Paris (Cimi-Paris), INSERM U1135, Paris, France. FAU - Boccon-Gibod, I AU - Boccon-Gibod I AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Clinique Universitaire de Medecine Interne, CHU de Grenoble, Grenoble Cedex, France. AD - Centre National de Reference des Angioedemes (CReAK), France. FAU - Doutre, M S AU - Doutre MS AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Service de Dermatologie, Hopital Saint-Andre, CHU de Bordeaux, Bordeaux, France. FAU - Mathelier-Fusade, P AU - Mathelier-Fusade P AD - Service de Dermatologie-Allergologie, Hopital Tenon, HUEP, APHP, Paris, France. AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. FAU - Nicolas, J F AU - Nicolas JF AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Universite Lyon1, INSERM U1111 - CIRI, Hopitaux de Lyon, CH Lyon-Sud, Lyon, France. FAU - Rayson-Peyron, N AU - Rayson-Peyron N AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Centre National de Reference des Angioedemes (CReAK), France. AD - Service de Dermatologie, hopital St Eloi, Montpellier Cedex, France. FAU - Gompel, A AU - Gompel A AD - GUS: Groupe Urticaire de la Societe Francaise de Dermatologie, France. AD - Centre National de Reference des Angioedemes (CReAK), France. AD - Unite de Gynecologie Endocrinienne, Universite Paris Descartes, APHP, Port Royal Cochin, Paris, France. LA - eng PT - Journal Article DEP - 20160323 PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 RN - 0 (Gonadal Steroid Hormones) SB - IM EIN - J Eur Acad Dermatol Venereol. 2016 Nov;30(11):1992. PMID: 27775215 MH - Adolescent MH - Adult MH - Aged MH - Chronic Disease MH - Cross-Sectional Studies MH - Gonadal Steroid Hormones/*physiology MH - Humans MH - Middle Aged MH - Urticaria/*etiology MH - Young Adult EDAT- 2016/03/24 06:00 MHDA- 2017/05/02 06:00 CRDT- 2016/03/24 06:00 PHST- 2015/10/25 00:00 [received] PHST- 2016/02/15 00:00 [accepted] PHST- 2016/03/24 06:00 [entrez] PHST- 2016/03/24 06:00 [pubmed] PHST- 2017/05/02 06:00 [medline] AID - 10.1111/jdv.13644 [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2016 Sep;30(9):1527-30. doi: 10.1111/jdv.13644. Epub 2016 Mar 23.