The global impact of the COVID-19 pandemic on the management and course of chronic urticaria
Por:
Kocaturk, E, Salman, A, Cherrez-Ojeda, I, Criado, PR, Peter, J, Comert-Ozer, E, Abuzakouk, M, Agondi, RC, Al-Ahmad, M, Altrichter, S, Arnaout, R, Arruda, LK, Asero, R, Bauer, A, Ben-Shoshan, M, Bernstein, JA, Bizjak, M, Boccon-Gibod, I, Bonnekoh, H, Bouillet, L, Brzoza, Z, Busse, P, Campos, RA, Carne, E, Conlon, N, Criado, RF, Lima, EMD, Demir, S, Dissemond, J, Gunaydin, SD, Dorofeeva, I, Ensina, LF, Ertas, R, Ferrucci, SM, Figueras-Nart, I, Fomina, D, Franken, SM, Fukunaga, A, Gimenez-Arnau, AM, Godse, K, Goncalo, M, Gotua, M, Grattan, C, Guillet, C, Inomata, N, Jakob, T, Karakaya, G, Kasperska-Zajac, A, Katelaris, CH, Kosnik, M, Krasowska, D, Kulthanan, K, Kumaran, MS, Lang, C, Larco-Sousa, JI, Lazaridou, E, Leslie, TA, Lippert, U, Llosa, OC, Makris, M, Marsland, A, Medina, IV, Meshkova, R, Palitot, EB, Parisi, CAS, Pickert, J, Ramon, GD, Rodriguez-Gonzalez, M, Rosario, N, Rudenko, M, Rutkowski, K, Sanchez, J, Schliemann, S, Sekerel, BE, Serpa, FS, Serra-Baldrich, E, Song, ZQ, Soria, A, Staevska, M, Staubach, P, Tagka, A, Takahagi, S, Thomsen, SF, Treudler, R, Vadasz, Z, Valle, SOR, Van Doorn, MBA, Vestergaard, C, Wagner, N, Wang, DH, Wang, LC, Wedi, B, Xepapadaki, P, Yucel, E, Zalewska-Janowska, A, Zhao, ZT, Zuberbier, T, Maurer, M
Publicada:
1 mar 2021
Ahead of Print:
1 dic 2020
Resumen:
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.
Filiaciones:
Kocaturk, E:
Koc Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Sch Med, Istanbul, Turkey
Salman, A:
Marmara Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Sch Med, Istanbul, Turkey
Cherrez-Ojeda, I:
Univ Especialidades Espiritu Santo, Urticaria Ctr Reference & Excellence UCARE, Sch Med, Samborondon, Ecuador
Respiralab, Guayaquil, Ecuador
Criado, PR:
Fac Med ABC, Urticaria Ctr Reference & Excellence UCARE, Santo Andre, Brazil
Alergoskin Alergia & Dermatol SS Ltda, Santo Andre, Brazil
UCARE Ctr, Sao Paulo, Brazil
Peter, J:
Univ Cape Town, Urticaria Ctr Reference & Excellence UCARE, Dept Med, Div Allergy & Clin Immunol, ZA-7925 Cape Town, South Africa
Comert-Ozer, E:
Marmara Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Sch Med, Istanbul, Turkey
Abuzakouk, M:
Cleveland Clin Abu Dhabi, Urticaria Ctr Reference & Excellence UCARE, Abu Dhabi, U Arab Emirates
Agondi, RC:
Univ Sao Paulo, Urticaria Ctr Reference & Excellence UCARE, Sao Paulo, Brazil
Al-Ahmad, M:
Kuwait Univ, Fac Med, Urticaria Ctr Reference & Excellence UCARE, Microbiol Dept, Safat, Kuwait
Altrichter, S:
Charite Univ Med Berlin, Dept Dermatol & Allergy, Urticaria Ctr Reference & Excellence UCARE, Berlin, Germany
Arnaout, R:
Al Faisal Univ, King Faisal Specialist Hosp & Res Ctr, Urticaria Ctr Reference & Excellence UCARE, Riyadh, Saudi Arabia
Arruda, LK:
Univ Sao Paulo, Urticaria Ctr Reference & Excellence UCARE, Preto Med Sch, Sao Paulo, Brazil
Asero, R:
Clin San Carlo, Urticaria Ctr Reference & Excellence UCARE, Ambulatorio Allergol, Paderno Dugnano, Italy
Bauer, A:
Tech Univ, Univ Hosp Carl Gustav Carus, Univ Allergy Ctr, Dept Dermatol,Urticaria Ctr Reference & Excellenc, Dresden, Germany
Ben-Shoshan, M:
McGill Univ Hlth Ctr, Urticaria Ctr Reference & Excellence UCARE, Dept Pediat, Div Allergy Immunol & Dermatol, Montreal, PQ, Canada
Bernstein, JA:
Univ Cincinnati, Coll Med, Urticaria Ctr Reference & Excellence UCARE, Div Immunol Rheumatol & Allergy, Cincinnati, OH USA
Bizjak, M:
Univ Clin Resp & Allerg Dis Golnik, Urticaria Ctr Reference & Excellence UCARE, Div Allergy, Golnik, Slovenia
Boccon-Gibod, I:
Grenoble Univ Hosp, Urticaria Ctr Reference & Excellence UCARE, Natl Reference Ctr Angioedema, Clin Immunol Internal Med Dept, Grenoble, France
Bonnekoh, H:
Charite Univ Med Berlin, Allergie Ctr Charite, Dept Dermatol & Allergy, Urticaria Ctr Reference & Excellence UCARE, Berlin, Germany
Charite Univ Med Berlin, Autoinflammat Reference Ctr Charit ARC2, Berlin, Germany
Bouillet, L:
Grenoble Univ Hosp, Urticaria Ctr Reference & Excellence UCARE, Natl Reference Ctr Angioedema, Clin Immunol Internal Med Dept, Grenoble, France
Brzoza, Z:
Univ Opole, Urticaria Ctr Reference & Excellence UCARE, Inst Med Sci, Dept Internal Med,Div Allergol, Opole, Poland
Busse, P:
Icahn Sch Mt Sinai, Urticaria Ctr Reference & Excellence UCARE, Div Clin Immunol & Allergy, New York, NY USA
Campos, RA:
Univ Fed Bahia, Urticaria Ctr Reference & Excellence UCARE, Salvador, BA, Brazil
Hosp Clin Prof Edgard Santos, Servi Imunol, Salvador, BA, Brazil
Carne, E:
Univ Hosp Wales, Urticaria Ctr Reference & Excellence UCARE, Cardiff, Wales
Conlon, N:
St James Hosp, Dept Immunol, Urticaria Ctr Reference & Excellence UCARE, Dublin, Ireland
Trinity Coll Dublin, Dublin, Ireland
Criado, RF:
Fac Med ABC FMABC, Urticaria Ctr Reference & Excellence UCARE, Santo Andre, Brazil
Lima, EMD:
Hosp Maternidade, Fac Ciencias Med & Saude Juiz de Fora SUPREMA, Urticaria Ctr Reference & Excellence, UCARE, Therezinha De Jesus, MG, Brazil
Demir, S:
Istanbul Univ, Istanbul Fac Med, Urticaria Ctr Reference & Excellence UCARE, Dept Internal Med,Div Allergy, Istanbul, Turkey
Dissemond, J:
Univ Essen Gesamthsch, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol Venereol & Allergol, Essen, Germany
Gunaydin, SD:
Hacettepe Univ, Fac Med, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Venereol, Ankara, Turkey
Dorofeeva, I:
FMBA Russia, Inst Immunol, Dept Allergy & Immunotherapy, Urticaria Ctr Reference & Excellence UCARE, Moscow, Russia
Ensina, LF:
Univ Fed Sao Paulo, Urticaria Ctr Reference & Excellence UCARE, Dept Pediat, Div Allergy Clin Immunol & Rheumatol, Sao Paulo, Brazil
Ertas, R:
Kayseri City Educ & Res Hosp, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Kayseri, Turkey
Ferrucci, SM:
Fdn IRCCS Ca Granda Osped Maggiore Policlin, Urticaria Ctr Reference & Excellence UCARE, Ambulatorio Dermatol Allergol & Professionale, Milan, Italy
Figueras-Nart, I:
Univ Barcelona, Hosp Bellvitge, Urticaria Ctr Reference & Excellence UCARE, Dermatol Dept, Barcelona, Spain
Fomina, D:
Moscow Minist Healthcare, Ctr Allergy & Immunol, Urticaria Ctr Reference & Excellence UCARE, Moscow, Russia
IM Sechenov First Moscow State Med Univ, Dept Allergol & Clin Immunol, Moscow, Russia
Franken, SM:
Amsterdam UMC, Dept Dermatol, Urticaria Ctr Reference & Excellence UCARE, Amsterdam, Netherlands
Fukunaga, A:
Kobe Univ, Urticaria Ctr Reference & Excellence UCARE, Grad Sch Med, Div Dermatol, Kobe, Hyogo, Japan
Gimenez-Arnau, AM:
Univ Autonoma Barcelona, Hosp del Mar, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Barcelona, Spain
Godse, K:
DY Patil Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Sch Med, Mumbai, Maharashtra, India
Goncalo, M:
Univ Coimbra, Ctr Hosp Univ Coimbra, Urticaria Ctr Reference & Excellence UCARE, Clin Dermatol, Coimbra, Portugal
Univ Coimbra, Clin Dermatol, Fac Med, Coimbra, Portugal
Gotua, M:
Ctr Allergy & Immunol, Urticaria Ctr Reference & Excellence UCARE, Tbilsi, Georgia
Grattan, C:
Guys & St Thomas Hosp, Dept Dermatol, Urticaria Ctr Reference & Excellence UCARE, London, England
Guillet, C:
Univ Hosp Zurich, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Allergy Unit, Zurich, Switzerland
Inomata, N:
Yokohama City Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Environm Immunodermatol, Grad Sch Med, Yokohama, Kanagawa, Japan
Jakob, T:
Justus Liebig Univ Giessen, Univ Med Ctr Giessen UKGM, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Allergy, Giessen, Germany
Karakaya, G:
Hacettepe Univ, Urticaria Ctr Reference & Excellence UCARE, Sch Med, Dept Chest Dis, Ankara, Turkey
Kasperska-Zajac, A:
Med Univ Silesia, Urticaria Ctr Reference & Excellence UCARE, European Ctr Diag & Treatment Urticaria, Zabrze, Poland
Katelaris, CH:
Campbelltown Hosp, Urticaria Ctr Reference & Excellence UCARE, Dept Med, Immunol & Allergy Unit, Campbelltown, NSW, Australia
Kosnik, M:
Univ Clin Resp & Allerg Dis Golnik, Urticaria Ctr Reference & Excellence UCARE, Div Allergy, Golnik, Slovenia
Krasowska, D:
Med Univ Lublin, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol Venereol & Pediat Dermatol, Lublin, Poland
Kulthanan, K:
Mahidol Univ, Fac Med, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol,Siriraj Hosp, Bangkok, Thailand
Kumaran, MS:
Postgrad Inst Med Educ & Res, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Chandigarh, India
Lang, C:
Univ Hosp Zurich, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Allergy Unit, Zurich, Switzerland
Larco-Sousa, JI:
Clin San Felipe, Urticaria Ctr Reference & Excellence UCARE, Lima, Peru
Lazaridou, E:
Aristotle Univ Thessaloniki, Gen Hosp Papageorgiou, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Venereol 2, Thessaloniki, Greece
Leslie, TA:
Royal Free Hosp, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, London, England
Lippert, U:
Med Ctr Univ Goettingen, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Venerol & Allergol, Gottingen, Germany
Llosa, OC:
SANNA Golf, Dept Allergy, Urticaria Ctr Reference & Excellence UCARE, Lima, Peru
Makris, M:
Natl & Kapodistrian Univ Athens, Univ Gen Hosp Attikon, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Venereol 2, Athens, Greece
Marsland, A:
Univ Manchester, Salford Royal Fdn Trust, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol,Urticaria Clin, Manchester, Lancs, England
Medina, IV:
Ctr Med Vitae, Urticaria Ctr Reference & Excellence UCARE, Allergy & Clin Immunol Dept, De Julio, Argentina
Meshkova, R:
Smolensk State Med Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Clin Immunol & Allergol, Smolensk, Russia
Palitot, EB:
Hosp Univ Lauro Wanderley, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Joao Pessoa, Paraiba, Brazil
Parisi, CAS:
Hosp Italiano Buenos Aires, Urticaria Ctr Reference & Excellence UCARE, Adults & Pediat Allergy Unit, Buenos Aires, DF, Argentina
Pickert, J:
Philipps Univ Marburg, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Allergol, Clin & Expt Allergol, Marburg, Germany
Ramon, GD:
Inst Alergia & Inmunol Sur, Urticaria Ctr Reference & Excellence UCARE, Buenos Aires, DF, Argentina
Rodriguez-Gonzalez, M:
Hosp Espanol Mexico, Urticaria Ctr Reference & Excellence UCARE, Dept Allergy, Mexico City, DF, Mexico
Rosario, N:
Univ Fed Parana, Urticaria Ctr Reference & Excellence UCARE, Rua Gen Carneiro, Curitiba, Parana, Brazil
Rudenko, M:
London Allergy & Immunol Ctr, Urticaria Ctr Reference & Excellence UCARE, London, England
Rutkowski, K:
Guys & St Thomas Hosp NHS Fdn Trust, Dept Allergy, Urticaria Ctr Reference & Excellence UCARE, London, England
Sanchez, J:
Univ Antioquia, Urticaria Ctr Reference & Excellence UCARE, Dept Pediat, Grad Program Allergol, Medellin, Colombia
Schliemann, S:
Univ Hosp Jena, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Jena, Germany
Sekerel, BE:
Hacettepe Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Pediat Allergy, Fac Med, Ankara, Turkey
Serpa, FS:
Hosp Santa Casa de Misericordia Vitoria, Urticaria Ctr Reference & Excellence UCARE, Espirito Santo, Brazil
Serra-Baldrich, E:
Hosp Santa Creu & Sant Pau, Dermatol Dept, Urticaria Ctr Reference & Excellence UCARE, Barcelona, Spain
Song, ZQ:
Army Med Univ, Southwest Hosp, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Chongqing, Peoples R China
Soria, A:
Univ Paris Sorbonne, Serv Dermatol & Allergol, Urticaria Ctr Reference & Excellence UCARE, Hop Tenon,AP HP, Paris, France
Staevska, M:
Sofia Med Univ, Urticaria Ctr Reference & Excellence UCARE, Dept Allergy, Sofia, Bulgaria
Staubach, P:
Univ Med Ctr, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Mainz, Germany
Tagka, A:
Natl & Kapodistrian Univ Athens, A Syggros Hosp, Urticaria Ctr Reference & Excellence UCARE, Referral Ctr Occupat Dermatol Dis,Dept Dermatol &, Athens, Greece
Takahagi, S:
Hiroshima Univ, Urticaria Ctr Reference & Excellence UCARE, Grad Sch Biomed & Hlth Sci, Dept Dermatol, Hiroshima, Japan
Thomsen, SF:
Bispebjerg Hosp, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Copenhagen, Denmark
Treudler, R:
UMC Leipzig, Dept Dermatol Venerol & Allergol, Urticaria Ctr Reference & Excellence UCARE, Leipzig, Germany
UMC Leipzig, Leipzig Interdisciplinary Ctr Allergol Comprehens, Leipzig, Germany
Vadasz, Z:
Technion Fac Med, Urticaria Ctr Reference & Excellence UCARE, Bnai Zion Med Ctr, Div Allergy & Clin Immunol, Haifa, Israel
Valle, SOR:
Univ Fed Rio de Janeiro, Urticaria Ctr Reference & Excellence UCARE, Dept Internal Med, Immunol Serv, Rio De Janeiro, Brazil
Van Doorn, MBA:
Erasmus MC, Dept Dermatol, Urticaria Ctr Reference & Excellence UCARE, Rotterdam, Netherlands
Vestergaard, C:
Aarhus Univ Hosp, Urticaria Ctr Reference & Excellence UCARE, Aarhus, Denmark
Wagner, N:
Univ Erlangen Nurnberg, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol, Erlangen, Germany
Wang, DH:
HeBei Med Univ, Urticaria Ctr Reference & Excellence UCARE, Dermatovenerol Dept, Hosp 2, Shijiazhuang, Hebei, Peoples R China
Wang, LC:
Sun Yat Sen Mem Hosp, Urticaria Ctr Reference & Excellence UCARE, Dermatol Dept, Guangzhou, Peoples R China
Wedi, B:
Hannover Med Sch, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Allergol, Allergol Div, Hannover, Germany
Xepapadaki, P:
Natl & Kapodistrian Univ Athens, Urticaria Ctr Reference & Excellence UCARE, Dept Allergy, Pediat Clin 2, Athens, Greece
Yucel, E:
Istanbul Univ, Istanbul Fac Med, Urticaria Ctr Reference & Excellence UCARE, Dept Pediat Allergy & Immunol, Istanbul, Turkey
Zalewska-Janowska, A:
Med Univ Lodz, Urticaria Ctr Reference & Excellence UCARE, Dept Psychodermatol, Chair Clin Immunol & Rheumatol, Lodz, Poland
Zhao, ZT:
Peking Univ First Hosp, Urticaria Ctr Reference & Excellence UCARE, Dept Dermatol & Venerol, Beijing Key Lab Mol Diag Dermatoses, Beijing, Peoples R China
Natl Clin Res Ctr Skin & Immune Dis, Beijing, Peoples R China
Zuberbier, T:
Charite Univ Med Berlin, Autoinflammat Reference Ctr Charit ARC2, Berlin, Germany
Maurer, M:
Charite, Allergie Ctr Charite, Dept Dermatol & Allergy, Urticaria Ctr Reference & Excellence UCARE, Berlin, Germany
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