Helicobacter pylori as a possible bacterial focus of chronic urticaria

Dermatology. 1999;198(2):130-2. doi: 10.1159/000018088.

Abstract

Background: Chronic urticaria is one of the most frequent skin diseases. Its cause, however, remains unsolved in a large number of cases. Recent investigations pointed to a potential role of Helicobacter pylori infection of the upper gastrointestinal tract as a possible causative agent in chronic urticaria.

Objective: The aim of this study was to examine the effect of a 14-day eradication therapy on chronic urticaria.

Methods: Thirty patients with chronic urticaria and confirmed H. pylori infection were treated with amoxicillin and omeprazole. Follow-up was conducted over a period of 6 months concerning eradication of H. pylori and remission of urticaria.

Results: Only 8 out of 30 patients (26.7%) showed clinical improvement or disappearance of their urticarial symptoms.

Conclusion: Though our results do not support the preliminary data of previous studies, the role of H. pylori as a possible bacterial focus of chronic urticaria has to be further investigated.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Amoxicillin / administration & dosage
  • Anti-Ulcer Agents / administration & dosage
  • Chronic Disease
  • Drug Therapy, Combination
  • Female
  • Gastritis / complications
  • Gastritis / drug therapy
  • Gastritis / microbiology
  • Helicobacter Infections / complications*
  • Helicobacter Infections / drug therapy
  • Helicobacter pylori*
  • Humans
  • Male
  • Middle Aged
  • Omeprazole / administration & dosage
  • Penicillins / administration & dosage
  • Peptic Ulcer / complications
  • Peptic Ulcer / drug therapy
  • Peptic Ulcer / microbiology
  • Prospective Studies
  • Urticaria / etiology*

Substances

  • Anti-Ulcer Agents
  • Penicillins
  • Amoxicillin
  • Omeprazole