Title: To study the association of chronic spontaneous urticaria with anti thyroid peroxidase antibody and ASST

Authors: Dr Rashmi Singh, Dr (Prof) Rana Gopal Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i7.105

Abstract

Background: Urticaria is a disease with weals and itching seen in all age groups. It can be acute or chronic, and chronic can be further subdivided into chronic inducible urticaria and chronic spontaneous urticaria.

Till date some many antibodies have been found to be associated with chronic spontaneous urticaria. Autologous serum sensitivity test has emerged as one of the invasive investigations being tried in detecting the autoimmune nature of the disease.

Through this study, we are trying to find out the association of antithyroid peroxidase antibody (anti TPO) with CSU (chronic spontaneous urticaria) and correlate the severity of CSU with ASST positivity.

Objectives: To find out if there is any association of chronic autoimmune urticaria with anti TPO and ASST to correlate its severity with them.

Method: Ours was a crossectional study whereby we have investigated all the enrolled patients for anti TPO and performed ASST on them. A total of 137 consecutive patients were enrolled and investigated for serum anti TPO and ASST performed on them. The datas were analysed using SPSS software 2019 version.

Result:  In this study anti TPO antibodies and ASST was found to be positive in patients of CSU .While anti TPO has come out to be a screening tool and ASST a better diagnostic tool.

Conclusion: We can conclude from the study that CSU is associated with anti TPO.

Keywords: CSU, Anti TPO, ASST, association.

References

  1. Mlynek A, Maurer M, Zalewska A (2008) Update on chronic urticaria: focusing on mechanisms. Curr Opin Allergy Clin Immunol 8: 433–437.
  2. Najib U, Sheikh J. The spectrum of chronic urticaria. Allergy Asthma Proc 2009;30:1-10.
  3. Leznoff A, Josse RG, Denburg J, Dolovich J. Association of chronic urticaria and angioedema with thyroid autoimmunity. Arch Dermatol 1983;119:636-40.
  4. Leznoff A, Sussman GL. Syndrome of idiopathic chronic urticaria and angioedema with thyroid autoimmunity: A study of 90 patients. J Allergy Clin Immunol 1989;84:66-71.
  5. Rumbyrt JS, Katz JL, Schocket AL. Resolution of chronic urticaria in patients with thyroid autoimmunity. J Allergy Clin Immunol 1995;96:.901-6.
  6. Grattan CE, Sabroe RA, Greaves MW. Chronic urticaria. J Am Acad Dermatol 2002; 46: 645-57.
  7. Dreskin SC, Andrews KY. The thyroid and urticaria. Curr Opin Allergy Clin Immunol 2005;5:408-12.
  8. Kaplan AP. Chronic urticaria: Pathogenesis and treatment. J Allergy Clin Immunol 2004;114:465-74.
  9. Hide M, Francis DM, Grattan CE, et al. Autoantibodies against the high-affinity IgE receptor as a cause of histamine release in chronic urticaria. N Engl J Med. 1993;328:1599-604.
  10. Sabroe RA, Seed PT, Francis DM, Barr RM, Black AK, Greaves MW. Chronic idiopathic urticaria: comparison of the clinical features of patients with and without anti-Fc epsilon RI or anti- IgE autoantibodies. J Am Acad Dermatol. 1999;40:443-50.
  11. Vikramkumar AG, Kuruvila S, Ganguly S. Autologous serum skin test as an indicator of chronic autoimmune urticaria in a tertiary care hospital in South India. Indian dermatology online journal. 2014 Dec;5(Suppl 2):S87.
  12. Najafipour M, Zareizadeh M, Najafipour F. Relationship between Chronic urticaria and autoimmune thyroid disease. Journal of advanced pharmaceutical technology & research. 2018 Oct;9(4):158.
  13. Kulthanan K, Jiamton S, Gorvanich T, Pinkaew S. Autologous Serum Skin Test in Chronic Idiopathic Urticaria: Prevalence, Cor-relation and Clinical Implications. Asian Pacific journal of allergy and immunology. 2006 Dec 1;24(4):201.
  14. George M, Balachandran C, Prabhu S. Chronic idiopathic urticaria: comparison of clinical features with positive autologous serum skin test. Indian Journal of Dermatology, Venereology, and Leprology. 2008 Mar 1;74(2):105.
  15. KikuchiY, FannT, and Kaplan, AP. Antithyroid antibodies in chronic urticaria and angioedema. Journal of Allergy and clinical immunology.2003Jul1;112(1):218.
  16. Bakos N, Hillander M. Comparison of chronic autoimmune urticaria with chronic idiopathic urticaria. Int J Dermatol. 2003;42:613-5. 

  17. O Donnell BF, Francis DM, Swana GT, Seed PT, Kobza Black A, Greaves MW. Thyroid autoimmunity in chronic urticaria. Br J Dermatol. 2005;153:331-5.
  18. Yadav S, Kanwar AJ, Parsad D, Minz RW. Chronic idiopathic urticaria and thyroid autoimmunity: Perplexing association. Indian J Dermatol. 2013;58:325.
  19. Jindal R, Roy S, Nagrani P. Chronic idiopathic urticaria and autoimmunity: frequency and association in patients with positive versus negative autologous serum skin test. Int J Res Med Sci 2017;5:1103-6.
  20. Aamir IS, Tauheed S, Majid F, AtifA. Frequency of autoimmune thyroid diseasein chronic urticaria.J Coll Physicians Surg Pak 2010 Mar1;20(3):158-61.

Corresponding Author

Dr Rashmi Singh

C-33/58 B2K, Behind sunbeam school, Sigra, Varanasi, UP, India