- Research Article
- 10.59338/cmj.64
Clinico-epidemiological study and associated factors in chronic urticaria: An observational study from a government hospital in Nepal
- May 27, 2025
- Civil Medical Journal
- Prajwal Pudasaini + 9 more +9
Introduction: Chronic urticarial (CU) is the condition characterized by the occurrence of itchy, erythematous and evanescent wheals for prolonged duration, usually more than 6 weeks. Its recurrence and flares have been linked to decreased quality of life and work productivity in vast majority of patients. Herein, we have attempted to delve into prevalence and association of this chronic yet intractable entity. This will aid in assessing concomitant factors associated with this chronic condition and facilitate holistic treatment for this chronic condition. Methods: A total of 125 patients with diagnosis of CU were included in this hospital-based observational study. Demographic details of the patients along with the associated factors were recorded in a pre-formed proforma and analyzed. Results: More than three fourth of our patients had Chronic Spontaneous Urticaria (CSU), and amongst them, generalized wheal was present in 92% of them. Angioedema was present in 40% the CU patients. An increased incidence of CU was seen in almost three fourth (72%) of our patients in age group of 16-45 years with predilection in females with a ratio of 1.7:1. Forty eight percent of our patients had severe itch and the mean duration of CU in our patient was 34.98 ± 5.26 months. Our study also showed an increased incidence of ASST positivity in 48% of CU subjects studied. Conclusions: This study re-iterates clinic-epidemiological and associated factors in chronic urticaria. Thus, relevant associated factors such as angioedema, severity of itch, thyroid dysfunction, helminthic co-infestation, exacerbating factors and atopiform predilection can be identified and managed timely to treat this recalcitrant and chronic entity which often takes a toll on patient’s quality of life and daily activities.
Read more