June 10, 2014

Correlations between Anti-Mast Cell Autoantibodies and Chronic Idiopathic Urticaria

Liwei Sun, Kang Erxun, Jie Li1, Jian Yang2, Chunyu Han
Departments of Dermatology and 1Clinical Laboratory, Yantai Yuhuangding Hospital of Qingdao University Medical College, 2Blood Center in Yantai, Yantai, China
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The etiology of chronic idiopathic urticaria (CIU) is not completely clear. There are a few antibodies were reported to correlate with CIU. Objective: To inve-stigate the correlation these antibodies and CIU. Methods: The autologous serum skin test (ASST) and allergens were performed. Serum levels of immunoglobulin E (IgE), anti- FcεRI and anti-IgE, anti-Helicobacter pylori (HP) antibodies and anti-thyroglobulin antibody (TGAb) were measured in 100 patients with CIU, acute urticaria (AU) and normal controls respectively. Results: Eighty-six percent food or inhalant allergens were detected in AU patients, but no allergens were detected in CIU patients and normal controls. Serum anti-FcεRI antibody and anti-IgE antibody levels were higher in the CIU than that in the AU patients and normal controls (p-0.05, respectively). IgE level was lower in the CIU patients (T=190.00, p-0.05), but increased in the AU patients (T=226.00, p-0.05) compared with the normal controls. The ASST positive rates in the CIU and the AU patients were 53.4% and 12.6% respectively, but all normal controls were negative. The anti-FcεRI antibody level was higher in the ASST-positive CIU patients than those negative ones (T=101.73, p-0.05). In anti-HP antibody positive and TGAb positive CIU patients, anti-FcεRI anti-body positive rate was higher than AU patients (p-0.01) and normal controls (p<0.01). Conclusion: The anti-FcεRI and anti-IgE antibodies play a key role in CIU, but anti-HP antibody and TGAb have an indirect correlation with CIU. (Ann Dermatol 26(2) 145∼149, 2014)
Keyword : Antibody, Anti-Helicobacter pylori antibody, Anti-immu-noglobulin E antibody, Chronic idiopathic urticaria, Anti- thyroglobulin
Annals of Dermatology 2014 Apr; 26(02): 144~149 

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