Evidence map›Paper›PMID 34212543›Full record

ArticleAllergy, asthma & immunology research2021

Autoimmune Diseases Are Linked to Type IIb Autoimmune Chronic Spontaneous Urticaria.

Pavel Kolkhir, Sabine Altrichter, Riccardo Asero, Alvaro Daschner, Marta Ferrer, Ana Giménez-Arnau, Tomasz Hawro, Thilo Jakob, Tamar Kinaciyan, Arno Kromminga and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. A Meta-Analysis of Anti-Thyroid Peroxidase Antibody and Omalizumab Response in Chronic Spontaneous Urticaria.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
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  18. Observational
  19. Towards Personalised Therapy in Chronic Spontaneous Urticaria: Advancing From Endotype to Clinical Response.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2025
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 15 institutions in 9 countries.

Pavel KolkhirDermatological Allergology, UCARE Charité, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID https://orcid.org/0000-0001-5380-8132
Sabine AltrichterDermatological Allergology, UCARE Charité, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID https://orcid.org/0000-0001-9955-385X
Riccardo AseroAmbulatorio di Allergologia, Clinica San Carlo, Paderno Dugnano (MI), Italy.ORCID https://orcid.org/0000-0002-8277-1700
Alvaro DaschnerServicio de Alergia. Instituto de Investigación Sanitaria (IIS)- Hospital Universitario de la Princesa, Madrid, Spain.ORCID https://orcid.org/0000-0001-7725-981X
Marta FerrerDepartment of Allergy, Clinica Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra Pamplona IDISNA, RETIC de Asma, Reacciones Adversas y Alérgicas (ARADyAL), Pamplona, Spain.ORCID https://orcid.org/0000-0001-8495-1302
Ana Giménez-ArnauDepartment of Dermatology, Hospital del Mar, IMIM, Universitat Autònoma Barcelona, Spain.ORCID https://orcid.org/0000-0001-9548-5423
Tomasz HawroDermatological Allergology, UCARE Charité, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID https://orcid.org/0000-0001-9990-1332
Thilo JakobDepartment of Dermatology and Allergy, University Medical Center (UKGM), Justus Liebig University, Giesen, Germany.ORCID https://orcid.org/0000-0002-3124-9998
Tamar KinaciyanDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-8238-2561
Arno KrommingaBioagilytix Europe GmbH, Hamburg, Germany.ORCID https://orcid.org/0000-0002-6058-869X
George N KonstantinouDepartment of Allergy and Clinical Immunology, 424 General Military Training Hospital, Thessaloniki, Greece.ORCID https://orcid.org/0000-0003-1371-6764
Michael MakrisAllergy Unit, 2nd Dpt. of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, University General Hospital "Attikon", Athens, Greece.ORCID https://orcid.org/0000-0003-2713-2380
Martin MetzDermatological Allergology, UCARE Charité, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID https://orcid.org/0000-0002-4070-9976
Per Stahl SkovRefLab ApS, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-2481-4549
Petra StaubachDepartment of Dermatology, University Medical Center Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0002-2276-0284
Gordon SussmanDivision of Clinical Immunology and Allergy, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-2202-2513
Ke ZhangDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.ORCID https://orcid.org/0000-0003-4347-337X
Marcus MaurerDermatological Allergology, UCARE Charité, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany. marcus.maurer@charite.de.ORCID https://orcid.org/0000-0002-4121-481X
Humboldt-Universität zu Berlin · DE424 General Military Hospital · GRChristian-Albrechts-Universität zu Kiel · DEHospital Universitario de La Princesa · ESJohannes Gutenberg University Mainz · DEJustus-Liebig-Universität Gießen · DEMedical University of Vienna · ATNational and Kapodistrian University of Athens · GRNavarre Institute of Health Research · ESOdense Municipality · DKOspedale San Carlo · ITSechenov University · RUUniversitat Autònoma de Barcelona · ESUniversity of California, Los Angeles · USUniversity of Toronto · CA

Funding

GA²LEN
6 · The paper itself

Abstract

purposePatients with chronic spontaneous urticaria (CSU) have an increased risk for comorbid autoimmune diseases. In this retrospective multicenter study of CSU patients, we evaluated clinical and laboratory features of CSU associated with a higher risk of comorbid autoimmune diseases.

methodsWe analyzed records of CSU patients (n = 1,199) for a history or presence of autoimmune diseases. Patients were diagnosed with type IIb autoimmune CSU (aiCSU) if all 3 tests were positive: autologous serum skin test (ASST), basophil histamine release assay (BHRA) and/or basophil activation test (BAT), and IgG autoantibodies against FcεRIα/IgE detected by immunoassay.

resultsTwenty-eight percent of CSU patients had at least 1 autoimmune disease. The most prevalent autoimmune diseases were Hashimoto's thyroiditis (HT) (≥ 21%) and vitiligo (2%). Two percent of CSU patients had ≥ 2 autoimmune diseases, most frequently HT plus vitiligo. Comorbid autoimmune diseases, in patients with CSU, were associated with female sex, a family history of autoimmune diseases, and higher rates of hypothyroidism and hyperthyroidism (

conclusionsIn CSU, autoimmune diseases are common and linked to type IIb autoimmune CSU. Our results suggest that physicians assess and monitor all adult patients with CSU for signs and symptoms of common autoimmune diseases, especially HT and vitiligo.

Indexed as

autoantibodiesautoimmune diseasesautoimmune thyroiditisautoimmunityChronic urticariaimmunoassayomalizumabvitiligo

Identifiers

PMID34212543
PMCPMC8255350
OpenAlexW3131918768

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.