Publication: The global impact of the COVID-19 pandemic on the management and course of chronic urticaria
Issued Date
2021-03-01
Resource Type
ISSN
13989995
01054538
01054538
Other identifier(s)
2-s2.0-85098237681
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Allergy: European Journal of Allergy and Clinical Immunology. Vol.76, No.3 (2021), 816-830
Suggested Citation
Emek Kocatürk, Andaç Salman, Ivan Cherrez-Ojeda, Paulo Ricardo Criado, Jonny Peter, Elif Comert-Ozer, Mohamed Abuzakouk, Rosana Câmara Agondi, Mona Al-Ahmad, Sabine Altrichter, Rand Arnaout, Luisa Karla Arruda, Riccardo Asero, Andrea Bauer, Moshe Ben-Shoshan, Jonathan A. Bernstein, Mojca Bizjak, Isabelle Boccon-Gibod, Hanna Bonnekoh, Laurence Bouillet, Zenon Brzoza, Paula Busse, Regis A. Campos, Emily Carne, Niall Conlon, Roberta F. Criado, Eduardo M. de Souza Lima, Semra Demir, Joachim Dissemond, Sibel Doğan Günaydın, Irina Dorofeeva, Luis Felipe Ensina, Ragıp Ertaş, Silvia Mariel Ferrucci, Ignasi Figueras-Nart, Daria Fomina, Sylvie M. Franken, Atsushi Fukunaga, Ana M. Giménez-Arnau, Kiran Godse, Margarida Gonçalo, Maia Gotua, Clive Grattan, Carole Guillet, Naoko Inomata, Thilo Jakob, Gul Karakaya, Alicja Kasperska-Zając, Constance H. Katelaris, Mitja Košnik, Dorota Krasowska, Kanokvalai Kulthanan, M. Sendhil Kumaran, Claudia Lang, José Ignacio Larco-Sousa, Elisavet Lazaridou, Tabi Anika Leslie, Undine Lippert, Oscar Calderón llosa, Michael Makris, Alexander Marsland, Iris V. Medina, Raisa Meshkova, Esther Bastos Palitot, Claudio A.S. Parisi, Julia Pickert, German D. Ramon, Mónica Rodríguez-Gonzalez, Nelson Rosario, Michael Rudenko, Krzysztof Rutkowski, Jorge Sánchez, Sibylle Schliemann, Bulent Enis Sekerel, Faradiba S. Serpa, Esther Serra-Baldrich, Zhiqiang Song, Angèle Soria, Maria Staevska, Petra Staubach, Anna Tagka, Shunsuke Takahagi, Simon Francis Thomsen, Regina Treudler, Zahava Vadasz, Solange Oliveira Rodrigues Valle, Martijn B.A. Van Doorn, Christian Vestergaard, Nicola Wagner, Dahu Wang, Liangchun Wang, Bettina Wedi, Paraskevi Xepapadaki, Esra Yücel, Anna Zalewska-Janowska, Zuotao Zhao, Torsten Zuberbier, Marcus Maurer The global impact of the COVID-19 pandemic on the management and course of chronic urticaria. Allergy: European Journal of Allergy and Clinical Immunology. Vol.76, No.3 (2021), 816-830. doi:10.1111/all.14687 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77325
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Title
The global impact of the COVID-19 pandemic on the management and course of chronic urticaria
Author(s)
Emek Kocatürk
Andaç Salman
Ivan Cherrez-Ojeda
Paulo Ricardo Criado
Jonny Peter
Elif Comert-Ozer
Mohamed Abuzakouk
Rosana Câmara Agondi
Mona Al-Ahmad
Sabine Altrichter
Rand Arnaout
Luisa Karla Arruda
Riccardo Asero
Andrea Bauer
Moshe Ben-Shoshan
Jonathan A. Bernstein
Mojca Bizjak
Isabelle Boccon-Gibod
Hanna Bonnekoh
Laurence Bouillet
Zenon Brzoza
Paula Busse
Regis A. Campos
Emily Carne
Niall Conlon
Roberta F. Criado
Eduardo M. de Souza Lima
Semra Demir
Joachim Dissemond
Sibel Doğan Günaydın
Irina Dorofeeva
Luis Felipe Ensina
Ragıp Ertaş
Silvia Mariel Ferrucci
Ignasi Figueras-Nart
Daria Fomina
Sylvie M. Franken
Atsushi Fukunaga
Ana M. Giménez-Arnau
Kiran Godse
Margarida Gonçalo
Maia Gotua
Clive Grattan
Carole Guillet
Naoko Inomata
Thilo Jakob
Gul Karakaya
Alicja Kasperska-Zając
Constance H. Katelaris
Mitja Košnik
Dorota Krasowska
Kanokvalai Kulthanan
M. Sendhil Kumaran
Claudia Lang
José Ignacio Larco-Sousa
Elisavet Lazaridou
Tabi Anika Leslie
Undine Lippert
Oscar Calderón llosa
Michael Makris
Alexander Marsland
Iris V. Medina
Raisa Meshkova
Esther Bastos Palitot
Claudio A.S. Parisi
Julia Pickert
German D. Ramon
Mónica Rodríguez-Gonzalez
Nelson Rosario
Michael Rudenko
Krzysztof Rutkowski
Jorge Sánchez
Sibylle Schliemann
Bulent Enis Sekerel
Faradiba S. Serpa
Esther Serra-Baldrich
Zhiqiang Song
Angèle Soria
Maria Staevska
Petra Staubach
Anna Tagka
Shunsuke Takahagi
Simon Francis Thomsen
Regina Treudler
Zahava Vadasz
Solange Oliveira Rodrigues Valle
Martijn B.A. Van Doorn
Christian Vestergaard
Nicola Wagner
Dahu Wang
Liangchun Wang
Bettina Wedi
Paraskevi Xepapadaki
Esra Yücel
Anna Zalewska-Janowska
Zuotao Zhao
Torsten Zuberbier
Marcus Maurer
Andaç Salman
Ivan Cherrez-Ojeda
Paulo Ricardo Criado
Jonny Peter
Elif Comert-Ozer
Mohamed Abuzakouk
Rosana Câmara Agondi
Mona Al-Ahmad
Sabine Altrichter
Rand Arnaout
Luisa Karla Arruda
Riccardo Asero
Andrea Bauer
Moshe Ben-Shoshan
Jonathan A. Bernstein
Mojca Bizjak
Isabelle Boccon-Gibod
Hanna Bonnekoh
Laurence Bouillet
Zenon Brzoza
Paula Busse
Regis A. Campos
Emily Carne
Niall Conlon
Roberta F. Criado
Eduardo M. de Souza Lima
Semra Demir
Joachim Dissemond
Sibel Doğan Günaydın
Irina Dorofeeva
Luis Felipe Ensina
Ragıp Ertaş
Silvia Mariel Ferrucci
Ignasi Figueras-Nart
Daria Fomina
Sylvie M. Franken
Atsushi Fukunaga
Ana M. Giménez-Arnau
Kiran Godse
Margarida Gonçalo
Maia Gotua
Clive Grattan
Carole Guillet
Naoko Inomata
Thilo Jakob
Gul Karakaya
Alicja Kasperska-Zając
Constance H. Katelaris
Mitja Košnik
Dorota Krasowska
Kanokvalai Kulthanan
M. Sendhil Kumaran
Claudia Lang
José Ignacio Larco-Sousa
Elisavet Lazaridou
Tabi Anika Leslie
Undine Lippert
Oscar Calderón llosa
Michael Makris
Alexander Marsland
Iris V. Medina
Raisa Meshkova
Esther Bastos Palitot
Claudio A.S. Parisi
Julia Pickert
German D. Ramon
Mónica Rodríguez-Gonzalez
Nelson Rosario
Michael Rudenko
Krzysztof Rutkowski
Jorge Sánchez
Sibylle Schliemann
Bulent Enis Sekerel
Faradiba S. Serpa
Esther Serra-Baldrich
Zhiqiang Song
Angèle Soria
Maria Staevska
Petra Staubach
Anna Tagka
Shunsuke Takahagi
Simon Francis Thomsen
Regina Treudler
Zahava Vadasz
Solange Oliveira Rodrigues Valle
Martijn B.A. Van Doorn
Christian Vestergaard
Nicola Wagner
Dahu Wang
Liangchun Wang
Bettina Wedi
Paraskevi Xepapadaki
Esra Yücel
Anna Zalewska-Janowska
Zuotao Zhao
Torsten Zuberbier
Marcus Maurer
Other Contributor(s)
Universitätsklinikum Carl Gustav Carus Dresden
Campbelltown Hospital
Graduate School of Medicine
Hiroshima University Graduate School of Biomedical and Health Sciences
Graduate School of Medicine
Sun Yat-Sen Memorial Hospital
Peking University First Hospital
Cleveland Clinic Abu Dhabi
Clínica San Felipe
Universidad Espíritu Santo
Alfaisal University
Bolnišnica Golnik
State Research Center Institute of Immunology FMBA
Medical University of Lublin
Universidad de Antioquia
Kuwait University
Universidade de Coimbra, Faculdade de Medicina
The Royal Free Hospital
Erasmus MC
Ruth & Bruce Rappaport Faculty of Medicine
D Y Patil University, Navi Mumbai
Ethnikó ke Kapodistriakó Panepistímio Athinón
Medical University of Sofia
Slaski Uniwersytet Medyczny w Katowicach
Spanish Hospital, Mexico City
Charité – Universitätsmedizin Berlin
Bispebjerg Hospital
Medizinische Hochschule Hannover (MHH)
Aarhus Universitetshospital
Universitätsklinikum Jena und Medizinische Fakultät
Universitätsmedizin Mainz
Universitätsmedizin Göttingen
Chongqing Medical University
Hacettepe Üniversitesi
UniversitatsSpital Zurich
Fundacao Universitaria do ABC, Faculdade de Medicina do ABC
University of Cincinnati College of Medicine
Aristotle University of Thessaloniki
Universidade Federal do Parana
Universidade Federal de São Paulo
Universität Duisburg-Essen
Hôpital Tenon
Universidade Federal da Bahia
Icahn School of Medicine at Mount Sinai
Philipps-Universität Marburg
İstanbul Tıp Fakültesi
Faculty of Medicine Siriraj Hospital, Mahidol University
Sechenov First Moscow State Medical University
Hebei Medical University
Instituto Universitario del Hospital Italiano de Buenos Aires
Universitätsklinikum Gießen und Marburg, Standort Gießen
Universidade de São Paulo
Ospedale Maggiore Policlinico Milano
Medical University of Lodz
Centre Universitaire de Santé McGill
Koç Üniversitesi
Centre Hospitalier Universitaire de Grenoble
Guy's and St Thomas' NHS Foundation Trust
Smolensk State Medical Academy
Uniwersytet Opolski
Marmara Üniversitesi Tip Fakültesi
The University of Manchester
St James's Hospital
Universitat de Barcelona
Friedrich-Alexander-Universität Erlangen-Nürnberg
University of Cape Town
Postgraduate Institute of Medical Education & Research, Chandigarh
Institut Municipal d'Investigacio Medica
Universidade Federal do Rio de Janeiro
University Hospital of Wales
Urticaria Center of Reference and Excellence (UCARE)
Urticaria Center of Reference and Excellence (UCARE)
Amsterdam UMC
Centro Médico Vitae de Julio
UCARE Center
Alergoskin Alergia e Dermatologia SS ltda
Hospital Santa Casa de Misericórdia de Vitória
London Allergy and Immunology Centre
Hospital Maternidade Therezinha de Jesus
Ministry of Healthcare
Kayseri Education and Research Hospital
Hospital Universitário Lauro Wanderley
Hospital das Clínicas Professor Edgard Santos
Hospital Sant Pau
Center of Allergy and Immunology
Sternwarte Leipzig
Instituto Argentino de Alergia e Inmunología
Campbelltown Hospital
Graduate School of Medicine
Hiroshima University Graduate School of Biomedical and Health Sciences
Graduate School of Medicine
Sun Yat-Sen Memorial Hospital
Peking University First Hospital
Cleveland Clinic Abu Dhabi
Clínica San Felipe
Universidad Espíritu Santo
Alfaisal University
Bolnišnica Golnik
State Research Center Institute of Immunology FMBA
Medical University of Lublin
Universidad de Antioquia
Kuwait University
Universidade de Coimbra, Faculdade de Medicina
The Royal Free Hospital
Erasmus MC
Ruth & Bruce Rappaport Faculty of Medicine
D Y Patil University, Navi Mumbai
Ethnikó ke Kapodistriakó Panepistímio Athinón
Medical University of Sofia
Slaski Uniwersytet Medyczny w Katowicach
Spanish Hospital, Mexico City
Charité – Universitätsmedizin Berlin
Bispebjerg Hospital
Medizinische Hochschule Hannover (MHH)
Aarhus Universitetshospital
Universitätsklinikum Jena und Medizinische Fakultät
Universitätsmedizin Mainz
Universitätsmedizin Göttingen
Chongqing Medical University
Hacettepe Üniversitesi
UniversitatsSpital Zurich
Fundacao Universitaria do ABC, Faculdade de Medicina do ABC
University of Cincinnati College of Medicine
Aristotle University of Thessaloniki
Universidade Federal do Parana
Universidade Federal de São Paulo
Universität Duisburg-Essen
Hôpital Tenon
Universidade Federal da Bahia
Icahn School of Medicine at Mount Sinai
Philipps-Universität Marburg
İstanbul Tıp Fakültesi
Faculty of Medicine Siriraj Hospital, Mahidol University
Sechenov First Moscow State Medical University
Hebei Medical University
Instituto Universitario del Hospital Italiano de Buenos Aires
Universitätsklinikum Gießen und Marburg, Standort Gießen
Universidade de São Paulo
Ospedale Maggiore Policlinico Milano
Medical University of Lodz
Centre Universitaire de Santé McGill
Koç Üniversitesi
Centre Hospitalier Universitaire de Grenoble
Guy's and St Thomas' NHS Foundation Trust
Smolensk State Medical Academy
Uniwersytet Opolski
Marmara Üniversitesi Tip Fakültesi
The University of Manchester
St James's Hospital
Universitat de Barcelona
Friedrich-Alexander-Universität Erlangen-Nürnberg
University of Cape Town
Postgraduate Institute of Medical Education & Research, Chandigarh
Institut Municipal d'Investigacio Medica
Universidade Federal do Rio de Janeiro
University Hospital of Wales
Urticaria Center of Reference and Excellence (UCARE)
Urticaria Center of Reference and Excellence (UCARE)
Amsterdam UMC
Centro Médico Vitae de Julio
UCARE Center
Alergoskin Alergia e Dermatologia SS ltda
Hospital Santa Casa de Misericórdia de Vitória
London Allergy and Immunology Centre
Hospital Maternidade Therezinha de Jesus
Ministry of Healthcare
Kayseri Education and Research Hospital
Hospital Universitário Lauro Wanderley
Hospital das Clínicas Professor Edgard Santos
Hospital Sant Pau
Center of Allergy and Immunology
Sternwarte Leipzig
Instituto Argentino de Alergia e Inmunología
Abstract
Introduction: The COVID-19 pandemic dramatically disrupts health care around the globe. The impact of the pandemic on chronic urticaria (CU) and its management are largely unknown. Aim: To understand how CU patients are affected by the COVID-19 pandemic; how specialists alter CU patient management; and the course of CU in patients with COVID-19. Materials and Methods: Our cross-sectional, international, questionnaire-based, multicenter UCARE COVID-CU study assessed the impact of the pandemic on patient consultations, remote treatment, changes in medications, and clinical consequences. Results: The COVID-19 pandemic severely impairs CU patient care, with less than 50% of the weekly numbers of patients treated as compared to before the pandemic. Reduced patient referrals and clinic hours were the major reasons. Almost half of responding UCARE physicians were involved in COVID-19 patient care, which negatively impacted on the care of urticaria patients. The rate of face-to-face consultations decreased by 62%, from 90% to less than half, whereas the rate of remote consultations increased by more than 600%, from one in 10 to more than two thirds. Cyclosporine and systemic corticosteroids, but not antihistamines or omalizumab, are used less during the pandemic. CU does not affect the course of COVID-19, but COVID-19 results in CU exacerbation in one of three patients, with higher rates in patients with severe COVID-19. Conclusions: The COVID-19 pandemic brings major changes and challenges for CU patients and their physicians. The long-term consequences of these changes, especially the increased use of remote consultations, require careful evaluation.