Retrospective analysis of drug-induced urticaria and angioedema: a survey of 2287 patients

Immunopharmacol Immunotoxicol. 2001 Nov;23(4):585-95. doi: 10.1081/iph-100108604.

Abstract

Urticaria and angioedema (UA) represent a syndrome that is frequently encountered in children and adults. However, although they are often associated (in up to 50% of some patient populations), these two clinical entities should not be considered synonymous because they have distinct clinical and histopathological characteristics. The frequency of UA in drug-induced pathologies is quite high Here we report a retrospective survey of 2287 patients, observed between 1988 and 1997 presenting one or more episodes of drug-induced UA. In 1,973 patients (86.2%) [639 (32.4%) males and 1,334 (67.6%) females] a specific drug responsible for UA was identified. Particularly over the last two years the frequency of drug-induced UA has tended to increase, being more prevalent in females and the majority of cases (576: 23.1%) occuring during the third decade of life. The most frequently involved drugs are anti-inflammatory (particularly acetylsalicylic acid) and antimicrobial agents (mainly beta-lactams).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Angioedema / chemically induced*
  • Angioedema / epidemiology
  • Anti-Bacterial Agents / adverse effects*
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Aspirin / adverse effects*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Italy / epidemiology
  • Lactams
  • Male
  • Middle Aged
  • Retrospective Studies
  • Urticaria / chemically induced*
  • Urticaria / epidemiology

Substances

  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents, Non-Steroidal
  • Lactams
  • Aspirin