Research Article

Chronic Spontaneous Urticaria Cyclosporine Treatment: Our Experience

10.1501/Tipfak_0000000927

  • Hilayda Karakök Güngör
  • Seçil Saral
  • Ayșenur Maden
  • Nihal Kundakçı
  • Beyza Doğanay Erdoğan
  • Bengü Nisa Akay

Received Date: 16.10.2015 Accepted Date: 16.02.2016 J Ankara Univ Fac Med 2016;69(2):107-110

Aim:

Treatment of severe chronic autoimmune urticaria is difficult. In this study we aimed to investigate efficacy and safety of cyclosporine in patients with chronic urticaria.

Material and Method:

Twenty patients with chronic spontaneous urticaria whom detailed physical exami-nation were noted and were treated in our center between 2005 and 2013 were included in this study.

Results:

A total 20 patients were included in this study. Daily wheal number and number of angioedema at-tacks had been compared and significant reduce in both parameters were detected. Total duration of treat-ment was mean (min: 4, max: 144) 27,05 (±30,9507 SD, median 18) weeks. Daily cyclosporine dosages were (min: 0,54, max: 3,57), mean 2,2672 (±0,81441SD, median 2,1237). Mild hypertension was detected in two pati-ents under treatment and had been treated with anti hypertensive agents. Dyplopia was developed in 1 pati-ent. We observed elevated creatinine levels in 3 patients.

Conclusion:

A daily mean dosage of 2,2672 mg of cyclosporine is effective in treatment of chronic urticaria for a duration of 27 weeks. All patients must be followed up closely to monitore adverse events. Recurrence was seen in a mean 9 weeks after cessation of therapy.

Keywords: Chronic Urticaria, Cyclosporine