Dietary strategies for chronic spontaneous urticaria: an evidence-based review.
Journal
International journal of dermatology
ISSN: 1365-4632
Titre abrégé: Int J Dermatol
Pays: England
ID NLM: 0243704
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
revised:
01
10
2021
received:
22
06
2021
accepted:
06
11
2021
pubmed:
27
11
2021
medline:
20
1
2023
entrez:
26
11
2021
Statut:
ppublish
Résumé
Although the relationship between diet and chronic spontaneous urticaria (CSU) remains elusive, several patients seek dietary modifications as they are easy and cost-effective. Adequate patient education and counseling are crucial as modified diets may be beneficial for a subset of antihistamine refractory CSU patients, and no modality currently exists to identify these patients. Elimination of food items based exclusively on patient history may lead to unnecessary restrictions in most cases resulting in nutritional deficiencies and impaired quality of life. Several dietary strategies have been tried till date with varying rates of success and evidence. This review highlights the various dietary strategies along with their levels of evidence, which may help the treating dermatologists and physicians to counsel CSU patients and make evidence-based treatment decisions. There is grade A recommendation for the elimination of food additives (artificial pseudoallergens), personalized diets, vitamin D supplementation, Diamine oxidase supplementation and probiotics (in children), grade B recommendation for dietary elimination of red meat, fish and their products, natural pseudoallergens (fruits, vegetables, and spices), and low-histamine diet, while dietary elimination of gluten (with concomitant celiac disease) has grade C recommendation. Notably, elimination diets should be continued for at least 3 consecutive weeks to assess their effectiveness.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
143-153Informations de copyright
© 2021 the International Society of Dermatology.
Références
Zuberbier T, Aberer W, Asero R, et al. The EAACI/GA²LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy 2018; 73: 1393-1414.
Saini SS, Kaplan AP. Chronic spontaneous urticaria: the devil's itch. J Allergy Clin Immunol Pract 2018; 6: 1097-1106.
Antia C, Baquerizo K, Korman A, et al. Urticaria: a comprehensive review: treatment of chronic urticaria, special populations, and disease outcomes. J Am Acad Dermatol 2018; 79: 617-633.
Augey F, Gunera-Saad N, Bensaid B, et al. Chronic spontaneous urticaria is not an allergicdisease. Eur J Dermatol 2011; 21: 349-353.
Maurer M, Costa C, Gimenez Arnau A, et al. Antihistamine-resistant chronic spontaneous urticaria remains undertreated: 2-year data from the AWARE study. Clin Exp Allergy 2020; 50: 1166-1175.
Cornillier H, Giraudeau B, Samimi M, et al. Effect of diet in chronic spontaneous urticaria: a systematic review. Acta Derm Venereol 2019; 99: 127-132.
Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician 2004; 69: 548-556.
Durieux N, Vandenput S, Pasleau F. [OCEBM levels of evidence system] Rev Med Liege 2013; 68: 644-649.
Jaros J, Shi VY, Katta R. Diet and chronic urticaria: dietary modification as a treatment strategy. Dermatol Pract Concept 2019; 10: e2020004.
Sánchez J, Sánchez A, Cardona R. Dietary habits in patients with chronic spontaneous urticaria: evaluation of food as trigger of symptoms exacerbation. Dermatol Res Pract 2018; 2018: 6703052.
Jirapongsananuruk O, Pongpreuksa S, Sangacharoenkit P, et al. Identification of the etiologies of chronic urticaria in children: a prospective study of 94 patients. Pediatr Allergy Immunol 2010; 21: 508-514.
Lukács J, Schliemann S, Elsner P. Occupational contact urticaria caused by food - a systematic clinical review. Contact Dermatitis 2016; 75: 195-204.
Rutkowski K, Wagner A, Rutkowski R, et al. Alpha-gal syndrome: an emerging cause of food and drug allergy. Clin Exp Allergy 2020; 50: 894-903.
Qian J, Liu T, Yang L, et al. Structural characterization of N-linked oligosaccharides on monoclonal antibody cetuximab by the combination of orthogonal matrix-assisted laser desorption/ionization hybrid quadrupole-quadrupole time-of-flight tandem mass spectrometry and sequential enzymatic digestion. Anal Biochem 2007; 364: 8-18.
Wilson JM, Schuyler AJ, Workman L, et al. Investigation into the alpha-Gal syndrome: characteristics of 261 children and adults reporting red meat allergy. J Allergy Clin Immunol Pract 2019; 7: 2348-2358.e4.
Pollack K, Zlotoff BJ, Borish LC, et al. α-Gal syndrome vs chronic urticaria. JAMA Dermatol 2019; 155: 115-116.
Maurer M, Church MK, Metz M, et al. Galactose-α-1,3-galactose allergy is not a hitherto unrecognized cause of chronic spontaneous urticaria. Int Arch Allergy Immunol 2015; 167: 250-252.
Buquicchio R, Ventura MT, Traetta PL, et al. A multicenter study of IgE sensitization to Anisakis simplex and diet recommendations. Endocr Metab Immune Disord Drug Targets 2018; 18: 170-174.
Frezzolini A, Cadoni S, De Pità O. Usefulness of the CD63 basophil activation test in detecting Anisakis hypersensitivity in patients with chronic urticaria: diagnosis and follow-up. Clin Exp Dermatol 2010; 35: 765-770.
Gracia-Bara MT, Matheu V, Zubeldia JM, et al. Anisakis simplex-sensitized patients: should fish be excluded from their diet? Ann Allergy Asthma Immunol 2001; 86: 679-685.
López-Sáez MP, Zubeldia JM, Caloto M, et al. Is Anisakis simplex responsible for chronic urticaria? Allergy Asthma Proc 2003; 24: 339-345.
Daschner A, De Frutos C, Valls A, et al. Preliminary data of the effect of a temporary diet without fish in a randomised clinical trial of Anisakis simplex sensitisation-associated chronic urticaria. Allergy 2011; 66: 33.
Kolkhir P, Borzova E, Grattan C, et al. Autoimmune comorbidity in chronic spontaneous urticaria: a systematic review. Autoimmun Rev 2017; 16: 1196-1208.
Ohlsen BA. Acupuncture and a gluten-free diet relieve urticaria and eczema in a case of undiagnosed dermatitis herpetiformis and atypical or extraintestinal celiac disease: a case report. J Chiropr Med 2011; 10: 294-300.
Peroni DG, Paiola G, Tenero L, et al. Chronic urticaria and celiac disease: a case report. Pediatr Dermatol 2010; 27: 108-109.
Zuberbier T, Chantraine-Hess S, Hartmann K, et al. Pseudoallergen-free diet in the treatment of chronic urticaria. A prospective study. Acta Derm Venereol 1995; 75: 484-487.
Magerl M, Pisarevskaja D, Scheufele R, et al. Effects of a pseudoallergen-free diet on chronic spontaneous urticaria: a prospective trial. Allergy 2010; 65: 78-83.
Siebenhaar F, Melde A, Magerl M, et al. Histamine intolerance in patients with chronic spontaneous urticaria. J Eur Acad Dermatol Venereol 2016; 30: 1774-1777.
Akoglu G, Atakan N, Cakır B, et al. Effects of low pseudoallergen diet on urticarial activity and leukotriene levels in chronic urticaria. Arch Dermatol Res 2012; 304: 257-262.
Di Lorenzo G, Pacor ML, Mansueto P, et al. Food-additive-induced urticaria: a survey of 838 patients with recurrent chronic idiopathic urticaria. Int Arch Allergy Immunol 2005; 138: 235-242.
Son JH, Chung BY, Kim HO, et al. A histamine-free diet is helpful for treatment of adult patients with chronic spontaneous urticaria. Ann Dermatol 2018; 30: 164-172.
Wagner N, Dirk D, Peveling-Oberhag A, et al. A Popular myth - low-histamine diet improves chronic spontaneous urticaria - fact or fiction? J Eur Acad Dermatol Venereol 2017; 31: 650-655.
Guida B, De Martino C, De Martino S, et al. Histamine plasma levels and elimination diet in chronic idiopathic urticaria. Eur J Clin Nutr 2000; 54: 155-158.
Asero R. Leukotriene receptor antagonists may prevent NSAID-induced exacerbations in patients with chronic urticaria. Ann Allergy Asthma Immunol 2000; 85: 156-157.
Nabavizadeh SH, Alyasin S, Esmaeilzadeh H, et al. The effect of vitamin D add-on therapy on the improvement of quality of life and clinical symptoms of patients with chronic spontaneous urticaria. Asian Pac J Allergy Immunol 2020. [ahead of print].
Mohamed AA, Hussein MS, Salah EM, et al. Efficacy and safety of active vitamin D supplementation in chronic spontaneous urticaria patients. J Dermatolog Treat 2020; 13: 1-6.
Mony A, Chandrashekar L, Rajappa M, et al. Effect of vitamin D supplementation on clinical outcome and biochemical profile in South Indian population with vitamin D-deficient chronic urticarial - A randomized double-blind placebo controlled trial. Clin Chim Acta 2020; 504: 1-6.
Yacoub M-R, Ramirez G, Berti A, et al. Diamine oxidase supplementation in chronic spontaneous urticaria: a randomized, double-blind placebo-controlled study. Int Arch Allergy Immunol 2018; 176: 268-271.
Nettis E, Di Leo E, Pastore A, et al. Probiotics and refractory chronic spontaneous urticaria. Eur Ann Allergy Clin Immunol 2016; 48: 182-187.
Atefi N, Fallahpour M, Sharifi S, et al. Probiotic as an adjuvant therapy in chronic urticaria: a blinded randomized controlled clinical trial. Eur Ann Allergy Clin Immunol 2021. [ahead of print].
Bi XD, Lu BZ, Pan XX, et al. Adjunct therapy with probiotics for chronic urticaria in children: randomised placebo-controlled trial. Allergy Asthma Clin Immunol 2021; 17: 39.
Rajan JP, Simon RA, Bosso JV. Prevalence of sensitivity to food and drug additives in patients with chronic idiopathic urticaria. J Allergy Clin Immunol Pract 2014; 2: 168-171.
Bansal CJ, Bansal AS. Stress, pseudoallergens, autoimmunity, infection and inflammation in chronic spontaneous urticaria. Allergy Asthma Clin Immunol 2019; 15: 56.
Feketea G, Tsabouri S. Common food colorants and allergic reactions in children: myth or reality? Food Chem 2017; 230: 578-588.
Ozceker D, Dilek F, Yucel E, et al. Can allergy patch tests with food additives help to diagnose the cause in childhood chronic spontaneous urticaria? Advan Dermatol Allergol/Postȩpy Dermatol Alergol 2020; 37(3): 384-389.
Zuberbier T, Edenharter G, Worm M, et al. Prevalence of adverse reactions to food in Germany - a population study. Allergy 2004; 59: 338-345.
Zuberbier T, Pfrommer C, Specht K, et al. Aromatic components of food as novel eliciting factors of pseudoallergic reactions in chronic urticaria. J Allergy Clin Immunol 2002; 109: 343-348.
Maintz L, Novak N. Histamine and histamine intolerance. Am J Clin Nutr 2007; 85: 1185-1196.
Sánchez-Pérez S, Comas-Basté O, Rabell-González J, et al. Biogenic amines in plant-origin foods: are they frequently underestimated in low-histamine diets? Foods 2018; 7: 205.
Steinhoff M, Griffiths C, Church M, et al. Histamine. In: Burns T, Breathnach S, Cox N, Griffiths C, eds. Rook’s textbook of dermatology. Oxford, United Kingdom: Blackwell Science, 2004; 9: 50-52
Hsu ML, Li LF. Prevalence of food avoidance and food allergy in Chinese patients with chronic urticaria. Br J Dermatol 2012; 166: 747-752.
Straesser M, Palacios T, Kyin T, et al. P155 seasonal correlations in chronic urticaria and allergic rhinitis. Ann Allergy Asthma Immunol 2017; 119: S39.
Wang X, Li X, Shen Y, et al. The association between serum vitamin D levels and urticaria: a meta-analysis of observational studies. G Ital Dermatol Venereol 2018; 153: 389-395.
Lu T, Chen Y, Guo Y, et al. Altered gut microbiota diversity and composition in chronic urticaria. Dis Markers 2019; 2019: 6417471.