Increased allergic sensitization to mugwort in chronic urticaria

Dermatology. 2012;225(2):141-6. doi: 10.1159/000342356. Epub 2012 Sep 26.

Abstract

Background: Mugwort pollen is known to cross-react with a variety of spices and vegetables that are typically part of elimination diets used in the treatment of chronic urticaria (CU).

Objective: We sought to investigate the association between CU and allergic sensitization to mugwort pollen.

Methods: We conducted 2 case-control studies comparing aeroallergen skin prick test results between patients with and without CU and with or without allergic rhinitis (total n = 202).

Results: CU patients with coexisting allergic rhinitis were more than twice as likely to be sensitized to mugwort as subjects not suffering from CU (67 vs. 30%; p = 0.004). Ragweed, cat, rat and mite sensitization were also significantly associated with CU. Overall, patients with CU had more positive aeroallergen skin tests than patients without CU (p < 0.005).

Conclusion: Mugwort sensitization was associated with CU, possibly contributing to beneficial effect of elimination diets.

MeSH terms

  • Adult
  • Allergens / adverse effects*
  • Artemisia / adverse effects*
  • Case-Control Studies
  • Female
  • Humans
  • Hypersensitivity / etiology
  • Male
  • Middle Aged
  • Pollen / adverse effects*
  • Skin Tests
  • Urticaria / etiology*

Substances

  • Allergens