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Association between chronic idiopathic urticaria and hypertension: A population-based retrospective cohort study
Heng-Wei Chang1, Hui-Man Cheng2, Hung-Rong Yen3
1Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan; Graduate Institute of Chinese Medicine, China Medical University, Taichung, Taiwan.
Insights
Patients with chronic idiopathic urticaria (CIU) face a significantly higher risk of developing hypertension later in life. This study highlights a crucial link between CIU and future cardiovascular health concerns.
Area of Science:
- Dermatology
- Cardiology
- Epidemiology
Background:
- Chronic idiopathic urticaria (CIU) is a condition of unknown cause, characterized by hives without identifiable external triggers.
- Previous research explored a potential link between hypertension and the duration of CIU.
Purpose of the Study:
- To investigate the association between chronic idiopathic urticaria (CIU) and the subsequent development of hypertension.
- To determine if CIU is a risk factor for future hypertension.
Main Methods:
- A population-based retrospective cohort study utilized Taiwan's National Health Insurance database.
- Included 2,460 patients with CIU and 9,840 matched controls.
- Follow-up periods averaged over 7 years for both cohorts.
Main Results:
- The CIU cohort exhibited a 1.37-fold increased risk of developing hypertension compared to the non-CIU cohort.
- This association remained significant after adjusting for sex, age, comorbidities, and antihistamine use.
Conclusions:
- Chronic idiopathic urticaria (CIU) is linked to an elevated risk of future hypertension.
- Further prospective studies are needed to elucidate the underlying pathophysiologic mechanisms connecting CIU and hypertension.
Background:
Chronic idiopathic urticaria (CIU) is defined as urticaria that is not caused by external triggers. The pathogenesis of CIU remains unknown. A previous study investigated whether hypertension is associated with extended duration of CIU.
Objective:
To investigate the possible association between CIU and hypertension.
Methods:
We performed a population-based retrospective cohort study of 2,460 patients with CIU and 9,840 age-, sex-, and index year-matched comparison patients, using the National Health Insurance of Taiwan database. The median follow-up periods were 7.13 years for the CIU cohort and 7.20 years for the non-CIU cohort. The distributions by sex and age were similar for both cohorts.
Results:
The CIU cohort had a 1.37-fold (95% CI, 1.22-1.53) greater risk of developing subsequent hypertension than the non-CIU cohort after adjusting for sex, age, comorbidities, and nonsedating antihistamine use.
Conclusion:
This nationwide retrospective cohort study found that CIU is associated with a higher future risk of hypertension after adjusting for sex, age, comorbidities, and nonsedating antihistamine use. The detailed pathophysiologic mechanisms require further clarification in prospective studies.
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