Evidence map›Paper›PMID 40944435›Full record

ArticleAllergy2026

The Prevalence of Symptomatic Dermographism: Results of the International UCARE PREVALENCE-D Study.

Kanokvalai Kulthanan, Jonathan A Bernstein, Michael Rudenko, Pascale Salameh, Chulaluk Komoltri, Esra Adışen, Salma Al Abri, Mona Al-Ahmad, Nasser Al-Ahmed, Bushra Al Hinai and 46 more

Abstract readMulticenter Study
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

56 authors.

Kanokvalai KulthananDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-7618-821X
Jonathan A BernsteinDivision of Rheumatology, Allergy and Immunology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-3476-1196
Michael RudenkoLondon Allergy and Immunology Centre, London, UK.ORCID https://orcid.org/0000-0002-6065-9451
Pascale SalamehInstitute of Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-4780-0772
Chulaluk KomoltriDivision of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-8620-1126
Esra AdışenDepartment of Dermatology, Faculty of Medicine, Gazi University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-8768-231X
Salma Al AbriClinical Immunology and Allergy Unit, Royal Hospital, Muscat, Oman.ORCID https://orcid.org/0000-0002-8454-0383
Mona Al-AhmadCollege of Medicine, Kuwait University, Kuwait City, Kuwait.ORCID https://orcid.org/0000-0003-2950-5363
Nasser Al-AhmedAl-Rashed Allergy Center, Ministry of Health, Kuwait City, Kuwait.ORCID https://orcid.org/0009-0005-9385-1510
Bushra Al HinaiClinical Immunology and Allergy Unit, Royal Hospital, Muscat, Oman.ORCID https://orcid.org/0000-0002-3266-7091
Anastasiia AllenovaLaboratory of Immune-Mediated Skin Diseases, Institute of Regenerative Medicine, Biomedical Science & Technology Park, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.ORCID https://orcid.org/0000-0003-0751-0073
Saad AlshareefKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-8308-4374
Nattha AngkoolpakdeekulDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-6388-1939
Rand ArnaoutKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0003-3951-5880
Joanna BartosińskaDepartment of Cosmetology and Aesthetic Medicine, Medical University of Lublin, Lublin, Poland.ORCID https://orcid.org/0000-0003-4106-3051
Ivan Cherrez-OjedaInstitute of Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-1610-239X
Leena ChularojanamontriDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-6625-6445
Paulo Ricardo CriadoDepartment of Dermatology, Centro Universitário Faculdade de Medicina do ABC, Santo André, Brazil.ORCID https://orcid.org/0000-0001-9785-6099
Luis Felipe EnsinaFederal University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-8652-3619
Roberta Fachini Jardim CriadoDepartment of Dermatology, Centro Universitário Faculdade de Medicina do ABC, Santo André, Brazil.ORCID https://orcid.org/0000-0003-2482-3047
Cesar Alberto Galvan CalleEmedic Salud, Lima, Peru.ORCID https://orcid.org/0000-0003-3517-3051
Ana Maria Giménez-ArnauDepartment of Dermatology, Hospital del Mar Research Institute, Universitat Pompeu Fabra, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5434-7753
Kiran GodseDepartment of Dermatology, D. Y. Patil University and School of Medicine, Navi Mumbai, India.ORCID https://orcid.org/0000-0002-0550-5871
Maia GotuaCenter of Allergy and Immunology, David Tvildiani Medical University, Tbilisi, Georgia.ORCID https://orcid.org/0000-0003-2497-4128
Naoko InomataDepartment of Dermatology, Showa University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-1989-9824
Nuttagarn JantanapornchaiDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-6215-5516
Chang-Gyu JungDepartment of Allergy and Clinical Immunology, Keimyung University School of Medicine, Daegu, South Korea.ORCID https://orcid.org/0000-0001-9163-9253
Alicja Kasperska-ZającDepartment of Clinical Allergology and Urticaria, Medical University of Silesia, Katowice, Poland.ORCID https://orcid.org/0000-0002-2000-0070
Maryam KhoshkhuiAllergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0000-0002-0363-6536
Pavel KolkhirInstitute of Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-5380-8132
Dorota KrasowskaDepartment of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Lubin, Poland.ORCID https://orcid.org/0000-0002-3176-9870
Jomgriditip LaomoleethornDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0005-0834-2229
Antonina MaiorowaSmolensk State Medical University, Smolensk, Russia.ORCID https://orcid.org/0009-0002-3810-2734
Raisa MeshkovaSmolensk State Medical University, Smolensk, Russia.ORCID https://orcid.org/0000-0002-7806-9484
Dragan MijakoskiInstitute of Occupational Health of R.N. Macedonia, WHO Collaborating Center, GA2LEN Collaborating Center, Skopje, Republic of North Macedonia.ORCID https://orcid.org/0000-0002-3291-0661
Melba MunozInstitute of Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0003-3386-4502
Yanisorn NanchaipruekDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-2744-1909
Iman NasrClinical Immunology and Allergy Unit, Royal Hospital, Muscat, Oman.ORCID https://orcid.org/0000-0003-0346-9675
Rabia Öztaş KaraDepartment of Dermatology, Sakarya University Faculty of Medicine, Sakarya, Turkey.ORCID https://orcid.org/0000-0003-1828-5844
Waratchaya PanjapakkulDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-1669-6404
Teerapat ParingkarnDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0008-5067-9759
Indrashis PodderDepartment of Dermatology, College of Medicine and Sagore Dutta Hospital, Kolkata, India.ORCID https://orcid.org/0000-0002-9589-083X
Karla Robles-VelascoUniversidad Espíritu Santo, Samborondón, Ecuador.ORCID https://orcid.org/0000-0001-7780-1015
Isabel RosmaninhoUnidade Local de Saúde Gaia e Espinho, Vila Nova de Gaia, Portugal.ORCID https://orcid.org/0009-0005-0377-6554
Ana Rita PresaTâmega/Sousa Hospital Center, Penafiel, Portugal.ORCID https://orcid.org/0000-0002-9220-163X
Chuda RujitharanawongDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-0423-7545
Phuwakorn Saengthong-AramDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0005-1730-788X
Rana TafrishiAllergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID https://orcid.org/0009-0004-6564-8737
Natasa Teovska MitrevskaDermatology Department, Remedika General Hospital, Skopje, Republic of North Macedonia.ORCID https://orcid.org/0000-0003-2009-3833
Papapit TuchindaDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-0599-4062
Teerapat WannawittayapaDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0008-3500-1018
Anushka WilsonDepartment of Dermatology, D. Y. Patil University and School of Medicine, Navi Mumbai, India.ORCID https://orcid.org/0009-0005-5946-359X
Young-Min YeDepartment of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, South Korea.ORCID https://orcid.org/0000-0002-7517-1715
Anna Zalewska-JanowskaPsychodermatology Department, Medical University of Lodz, Lodz, Poland.ORCID https://orcid.org/0000-0001-9900-7680
Marcus MaurerInstitute of Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-4121-481X
Torsten ZuberbierInstitute of Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-1466-8875

Funding

Global Allergy and Asthma Excellency and Asthma Excellence Network
6 · The paper itself

Abstract

backgroundThe prevalence of symptomatic dermographism (SD) in the general population remains unclear. This study aimed to internationally estimate the prevalence of SD and two other dermographic subtypes-physiological red dermographism and simple urticarial dermographism-among adults worldwide.

methodsThe PREVALENCE-D (Prevalence Estimation of Dermographism) study was the largest international, cross-sectional, internet-based investigation conducted by the Urticaria Centers of Reference and Excellence of the Global Allergy and Asthma Excellence Network from 2021 to 2024. A world expert-designed questionnaire was completed by participants from 28 centers across 19 countries to diagnose SD. Participants were recruited into three age groups (18-24, 25-60, and > 60 years), with ≥ 1000 individuals per group per country. We calculated sex- and age-adjusted prevalence estimates internationally and by country, with 95% confidence intervals.

resultsAmong 59,543 participants worldwide, those with SD had an adjusted point prevalence of 3.20% (95% confidence interval [CI] 2.68%-3.73%) and a lifetime prevalence of 5.94% (95% CI 5.32%-6.56%). The 25-60 years group presented the highest prevalence. Females had higher rates than males, with statistically significant differences across all age groups for both point and lifetime prevalence. Physiological red dermographism had an adjusted point prevalence of 10.02% (95% CI 9.48%-10.55%) and a lifetime prevalence of 33.47% (95% CI 32.01%-34.94%). Simple urticarial dermographism showed an adjusted point prevalence of 1.21% (95% CI 1.08%-1.35%) and a lifetime prevalence of 5.39% (95% CI 4.99%-5.79%).

conclusionThese findings provide comprehensive international estimates of dermographism, particularly SD, and emphasize the need for appropriate healthcare resource allocation and disease recognition.

Indexed as

UrticariaAdolescentAdultAgedCross-Sectional StudiesFemaleGlobal HealthHumansMaleMiddle AgedPrevalenceSurveys and QuestionnairesYoung Adultchronic inducible urticariadermographismprevalencesymptomatic dermographismurticaria

Identifiers

PMID40944435
PMCPMC12862545

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Registered trials

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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.