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Updated: Jul 5, 2026

Basophil Activation Test for Allergy Diagnosis
Published on: May 31, 2021
Pathophysiology of chronic urticaria.
Lindsey A Brodell1, Lisa A Beck, Sarbjit S Saini
1Department of Dermatology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
The exact cause of chronic urticaria remains unclear, but research suggests autoimmune factors and mast cell activation play key roles. More studies are needed to find effective treatments for this condition.
Area of Science:
- Immunology
- Dermatology
Background:
- Chronic urticaria is a common skin condition characterized by recurrent hives and angioedema.
- Its pathogenesis is not fully understood, complicating treatment strategies.
Purpose of the Study:
- To review existing literature on the pathogenesis of chronic urticaria, excluding physical urticaria.
- To synthesize current understanding of the underlying mechanisms driving the disease.
Main Methods:
- A comprehensive literature search was conducted on PubMed using keywords related to chronic urticaria and its pathogenesis.
- Searches were limited to English-language articles published between 1972 and 2007.
- References from review articles were also examined.
Main Results:
- No single pathogenic mechanism explains all chronic urticaria cases.
- Evidence points to a potential autoimmune serologic mediator in many patients.
- Activation of basophils and mast cells is a central feature in proposed pathogenic theories.
Conclusions:
- Further research is essential to elucidate the precise mechanisms of chronic urticaria development.
- A better understanding of pathogenesis is expected to lead to improved and potentially curative therapies.
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