Evidence map›Paper›PMID 42625711›Full record

ArticleFrontiers in immunology2026

Guideline-recommended inflammatory testing in symptomatic dermographism: a real-world study.

Mojca Bizjak-Suran, Larisa Stojanovič

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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Mojca Bizjak-SuranDivision of Allergy, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Larisa StojanovičFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Symptomatic dermographism (SD) is the most common form of chronic inducible urticaria and is increasingly recognized as a burdensome disease. The 2026 international urticaria guideline recommends eliciting dermographism and threshold testing for diagnosis and includes differential blood count and erythrocyte sedimentation rate or C-reactive protein (CRP) as an extended diagnostic work-up in patients with SD. However, the clinical usefulness of these inflammatory tests in SD remains incompletely characterized. Methods: In this retrospective real-world cohort study, we examined whether routine inflammatory markers provide interpretable signals in SD, using chronic spontaneous urticaria (CSU) as a reference comparator and serum protein electrophoresis-derived markers, including the inflammatory protein ratio (IPR) ([alpha-1 + alpha-2]/albumin × 100), as exploratory measures of inflammation. We included 726 patients with available serum protein electrophoresis (SPE) data: 579 with CSU only, 107 with SD only, and 40 with both diagnoses. Patients with both CSU and SD were excluded from the primary binary comparison, leaving 686 patients for the main CSU-only versus SD-only analysis. Results: Compared with CSU, SD showed lower CRP (median [IQR]: 1.40 [0.70-3.30] vs. 2.10 [0.90-5.50] mg/L; Discussion: Overall, these results show that some interpretable inflammatory signals are present in SD, but they do not clearly explain why these markers should be measured routinely in SD.

Indexed as

Chronic UrticariaInflammationUrticariaAdultBiomarkersBlood SedimentationChronic Inducible UrticariaC-Reactive ProteinFemaleHumansMaleMiddle AgedPractice Guidelines as TopicRetrospective StudiesBiomarkersC-Reactive Proteinchronic inducible urticariachronic spontaneous urticariacomplete blood countC-reactive proteininflammatory biomarkersreal-world cohortserum protein electrophoresissymptomatic dermographism

Identifiers

PMID42625711
PMCPMC13490054

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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.