000 03206cam a2200457 4500500
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041 _afre
042 _adc
100 1 0 _aMelé-Ninot, Gemma
_eauthor
700 1 0 _a Serra-Baldrich, Esther
_eauthor
700 1 0 _a Spertino, Jorge
_eauthor
700 1 0 _a Guilarte, Mar
_eauthor
700 1 0 _a Ribó González, Paula
_eauthor
700 1 0 _a Lleonart-Bellfill, Ramon
_eauthor
700 1 0 _a Figueras-Nart, Ignasi
_eauthor
700 1 0 _a Bonfill-Ortí, Montserrat
_eauthor
700 1 0 _a Depreux, Nathalie
_eauthor
700 1 0 _a Sala-Cunill, Anna
_eauthor
700 1 0 _a Bielsa-Marsol, Isabel
_eauthor
700 1 0 _a Baliu-Piqué, Carola
_eauthor
700 1 0 _a Sanmartín-Novell, Verònica
_eauthor
700 1 0 _a Garcia-Navarro, Xavier
_eauthor
700 1 0 _a Expósito-Serrano, Vicente
_eauthor
700 1 0 _a Garnica-Velandia, Diana
_eauthor
700 1 0 _a Diaz-Sarrió, Maria Carmen
_eauthor
700 1 0 _a Gómez-Armayones, Sara
_eauthor
700 1 0 _a Gich Saladich, Ignasi
_eauthor
700 1 0 _a Giménez-Arnau, Ana
_eauthor
245 0 0 _aAre antihistamines still used during omalizumab treatment for chronic spontaneous urticaria?
260 _c2022.
500 _a32
520 _aBackgroundThe guidelines for the treatment of chronic spontaneous urticaria (CSU) recommend adding omalizumab to the treatment of patients with uncontrolled disease despite four-fold doses of second-generation antihistamines (AH). On the contrary, some studies revealed that omalizumab was effective without concomitant AH and several authors suggest tapering off AH when CSU is controlled with omalizumab.ObjectivesThe aim of our study was to evaluate the use of AH during treatment with omalizumab in patients with CSU in real clinical practice.Materials & MethodsThis was a multicentre cross-sectional and observational study conducted by the Catalan and Balearic Chronic Urticaria Network (XUrCB) based on a cohort of 298 CSU patients treated with omalizumab.ResultsIn total, 23.5% of our patients decided themselves to stop taking AH during omalizumab treatment. The ratio of patients with CSU without concomitant inducible urticaria and the percentage of patients with a good response to omalizumab (UAS7≤6 and/or UCT ≥12) were higher in those who stopped taking AH.ConclusionMore studies are required to identify the phenotypic characteristics of patients responding to omalizumab as monotherapy in order to avoid overtreating with AH. Our study suggests that patients with CSU without concomitant inducible urticaria and those who achieve a good response to omalizumab tend to be controlled by omalizumab without AH. In order to establish guidelines on how to stop AH, further evidenced-based studies are required.
690 _aantihistamines
690 _achronic urticaria
690 _achronic spontaneous urticaria
690 _aantihistamines
690 _achronic urticaria
690 _achronic spontaneous urticaria
786 0 _nEuropean Journal of Dermatology | 32 | 5 | 2022-09-01 | p. 629-631 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2022-5-page-629?lang=en&redirect-ssocas=7080
999 _c604545
_d604545