Association between chronic idiopathic urticaria and hypertension A population-based retrospective cohort study

  • Heng Wei Chang
  • , Hui Man Cheng
  • , Hung Rong Yen
  • , Chung Y. Hsu
  • , Yu Chen Lee
  • , Jen Huai Chiang
  • , Mao Feng Sun*
  • *Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

24 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)554-558
Number of pages5
JournalAnnals of Allergy, Asthma and Immunology
Volume116
Issue number6
DOIs
StatePublished - 01 06 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016 American College of Allergy, Asthma & Immunology.

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