Wustlich S, Brehler R, Luger T A, Pohle T, Domschke W, Foerster E
Department of Dermatology, University of Münster, Germany.
Dermatology. 1999;198(2):130-2. doi: 10.1159/000018088.
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.
The aim of this study was to examine the effect of a 14-day eradication therapy on chronic urticaria.
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.
Only 8 out of 30 patients (26.7%) showed clinical improvement or disappearance of their urticarial symptoms.
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.
慢性荨麻疹是最常见的皮肤病之一。然而,在大量病例中其病因仍未得到解决。最近的研究指出,上消化道幽门螺杆菌感染可能是慢性荨麻疹的一种潜在致病因素。
本研究的目的是检验为期14天的根除治疗对慢性荨麻疹的效果。
30例确诊为幽门螺杆菌感染的慢性荨麻疹患者接受阿莫西林和奥美拉唑治疗。对幽门螺杆菌的根除情况和荨麻疹的缓解情况进行了为期6个月的随访。
30例患者中只有8例(26.7%)临床症状改善或荨麻疹症状消失。
虽然我们的结果不支持先前研究的初步数据,但幽门螺杆菌作为慢性荨麻疹可能的细菌病灶的作用仍需进一步研究。