Evidence map›Paper›PMID 40933439›Full record

ArticleAsia Pacific allergy2025

Exploring the relationship between menstrual cycle and urticaria: Insights from a cross-sectional study.

Mahdi Shamad, Nahid Osman Ibrahim, Nawaf AlMutairi

Abstract read
In one paragraph

Article in Asia Pacific allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Mahdi ShamadFaculty of Medicine, Kuwait University, Kuwait.
Nahid Osman IbrahimDermatology Section, Frendship Teaching Hospital, Omdurman, Sudan.
Nawaf AlMutairiFaculty of Medicine, Kuwait University, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic spontaneous urticaria (CSU) is characterized by recurrent wheals lasting over 6 weeks, with various internal and external triggers implicated. Autoimmune progesterone dermatitis, a rare condition associated with cyclical urticaria in response to elevated progesterone levels, may overlap with CSU, particularly in women with menstrual cycle-related exacerbations. Objective: To document and analyze the timing of urticaria episodes in relation to the menstrual cycle to better understand this phenomenon. Methodology: This cross-sectional study was conducted at Omdurman Maternity Hospital and Omdurman Friendship Hospital in Sudan from January to June 2022. We included 75 women (ages 18-45) with CSU suspected to be linked to their menstrual cycle. Participants completed a structured questionnaire detailing demographic information, menstrual history, urticaria episodes, and associated symptoms. Results: Among the 75 participants, 46.7% experienced urticaria exacerbation coinciding with menstruation, primarily within the first 3 days. Another 33.3% reported premenstrual urticaria, while 20% had postmenstrual symptoms. The majority exhibited classic urticarial wheals, with only 3.7% experiencing angioedema. Premenstrual urticaria was significantly associated with the 21 to 30 age group ( Conclusion: This study highlights a significant association between the menstrual cycle and urticaria, suggesting that hormonal fluctuations play a key role in symptom exacerbation. These findings provide a basis for future research into the underlying mechanisms of hormonally influenced urticaria and the development of targeted therapeutic strategies, such as hormonal modulation or individualized treatment plans for affected patients.

Indexed as

Autoimmune progesterone dermatitischronic spontaneous urticarialcutaneous allergymenstrual cyclemenstruationurticaria

Identifiers

PMID40933439
PMCPMC12419329

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