Chronic urticaria associated with high-risk occupations
https://doi.org/10.47183/mes.2021.006
Abstract
In their line of duty, firefighters and rescuers are exposed to a combination of adverse factors, which necessitates monitoring their health. This review covers the most common variants of urticaria associated with high-risk occupations, such as cholinergic urticaria, food-induced anaphylaxis and exercise-induced urticaria, cold and stress-induced urticaria. The analysis includes the relevant research results published up to 2020; the discussion outlines the possible pathogenesis mechanisms of chronic urticaria.
About the Authors
N. V. Mikryukova
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation
Russian Federation
Natalya V. Mikryukova
Optikov, 54, St. Petersburg, 197345
N. M. Kalinina
Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia;
St. Petersburg Pavlov State Medical University
Russian Federation
Russian Federation
St. Petersburg
References
1. Aleksanin SS, redaktor. Laboratornaja diagnostika somaticheskoj patologii u spasatelej, sotrudnikov federal'noj protivopozharnoj sluzhby Gosudarstvenoj protivopozharnoj sluzhby MChS Rossii i uchastnikov likvidacii radiacionnyh avarij (metodicheskie rekomendacii), SPb.: VCJeRM im. A. M. Nikiforova MChS Rosiii, 2015; 66 s. Russian.
2. Guidotti TL, Clough TL, Occupational Health Concerns of Firefighting. Annu Rev Public Health. 1992; 13: 151–171.
3. Aktas E, Esin MN. Skin disease symptoms and related risk factors among young workers in high-risk jobs. Contact Dermatitis. 2016; 75 (2): 96–105. PubMed PMID: 27271527.
4. Zuberbier T, Aberer W, Asero R., Abdul Latiff A. H., Baker D, et al. The EAACI/GALEN/EDF/WAO guideline for the definition and management of urticaria. Allergy. 2018; 73 (7): 1393–414
5. Martinez-Escala M, Curto-Barredo L, Carnero L, Pujol RM, Gimenez-Arnau AM. Temperature thresholds in assessment of the clinical course of acquired cold contact urticaria: a prospective observational one-year study. Acta Derm Venereol. 2015; 95 (3): 278–82.
6. Maurer M, Hawro T, Krause K, Magerl M, Metz M, Siebenhaar F et al. Diagnosis and treatment of chronic inducible urticaria. Allergy. 2019; 74 (12): 2550–3.
7. Nakamizo S, Kurosawa M, Sawada Y, Tokura Y, Miyachi Y, Kabashima K. A Case of Cholinergic Urticaria Associated With Acquired Generalized Hypohidrosis and Reduced Acetylcholine Receptors: Cause and Effect? Clin Exp Dermatol. 2011; 36 (5): 559–60.
8. Bito T, Sawada Yu, Tokura Y. Pathogenesis of cholinergic urticaria in relation to sweating. Allergology International. 2012; 61: 539–544.
9. Stephansson E, Koskimies S, Lokki ML. Exercise-induced Urticaria and Anaphylaxis. Acta Derm Venereol. 1991; 71 (2): 138–42.
10. Sawada Y, NakamuraM, Bito T, Fukamachi S, Kabashima R, Sugita K, et al. Cholinergic urticaria: studies on the muscarinic cholinergic receptor M3 in anhidrotic and hypohidrotic skin. J Invest Dermatol. 2010; 130: 2683–6.
11. Tlougan BE, Mancini AJ, Mandell JA, Cohen DE, Sanchez MR. Skin conditions in figure skaters, ice-hockey players and speed skaters: part II — cold-induced, infectious and inflammatory dermatoses. Sports Med. 2011; 41 (11): 967–84.
12. Handfield KS, Dolan CK, Kaplan M, Cholinergic UrticariaWith Anaphylaxis: Hazardous Duty of a Deployed US Marine. Cutis. 2015; 95 (4): 241–3.
13. Whinnery JE, Anderson GK. Environmentally Induced Cholinergic Urticaria and Anaphylaxis. Aviat Space Environ Med. 1983; 54 (6): 551–3.
14. Hosey RG, Carek PJ, Goo A. Exercise-induced Anaphylaxis and Urticaria. Am Fam Physician. 2001; 64 (8): 1367–72.
15. Kim СhW, Figueroa A, Park ChH, Kwak YS, Kim KB, Seo DY, et al. Combined effects of food and exercise on anaphylaxis. Nutr Res Pract. 2013; 7 (5): 347–51.
16. Zogaj D, Ibranji A, Hoxha M. Exercise-induced Anaphylaxis: the Role of Cofactors. Mater Sociomed. 2014; 26 (6): 401–4.
17. Romano A, Di Fonso M, Giuffreda F, Papa G, Artesani MC, Viola M, et al. Food-dependent exercise-induced anaphylaxis: clinical and laboratory findings in 54 subjects. Int Arch Allergy Immunol. 2001; 125: 264–72.
18. Lewis J, Lieberman P, Treadwell G, Erffmeyer J. Exercise-induced Urticaria, Angioedema and Anaphylactoid Episodes. J Allergy ClinImmunol. 1981; 68 (6): 432–37.
19. Tat TS. Higher levels of depression and anxiety in patients with chronic urticaria. Med SciMonit. 2019; 25: 115–20.
20. Montgomery SL, Cholinergic Urticaria and Exercise-Induced Anaphylaxis. Curr Sports Med Rep. 2015; 14 (1): 61–63.
21. Pravettoni V, Incorvaia C. Diagnosis of Exercise-Induced Anaphylaxis: Current Insights. J Asthma Allergy. 2016; 9: 191–98.
22. Li Ph H, Thomas I, Wong JCh, Rutkowski K, Lau C. Differences in omega-5-gliadin Allergy: East Versus West. Asia Pac Allergy. 2020; 10 (1), 5.
23. Siebenhaar F, Weller K, Mlynek A, Magerl M, Altrichter S, Viera Dos Santos R, et al. Acquired cold urticaria: clinical picture and update on diagnosis and treatment. Clin Exp Dermatol. 2007; 32 (3): 241–5.
24. Borzova EYu. Diagnostika hronicheskih inducirovannyh krapivnic. Rossijskij allergologicheskij zhurnal. 2019; 16 (2): 5–13.
25. Andersson T, Wardell K, Anderson C. Human in vivo cutaneous microdialysis: estimation of histamine release in cold urticaria. Acta Derm Venereol. 1995; 75 (5): 343–7.
26. Magerl M, Altrichter S, Borzova E, Giménez-Arnau A, Grattan C. EH, Lawlor F, et al. The definition, diagnostic testing, and management of chronic inducible urticarias — The EAACI/GA2LEN/EDF/UNEV consensus recommendations 2016 update and revision. Allergy. 2016; 71 (6): 780–802. DOI: 10.1111/all.12884.
27. Stander S, Moormann C, Schumacher M, Buddenkotte J, Artuc M, Shpacovitch V, et al. Expression of vanilloid receptor subtype 1 in cutaneous sensory nerve fibers, mast cells, and epithelial cells of appendage structures. Experimental dermatology. 2004; 13 (3): 129–39.
28. Bansal CJ, Bansal AS. Stress, pseudoallergens, autoimmunity, infection and inflammation in chronic spontaneous urticaria. Allergy Asthma Clin Immunol. 2019; 15: 56. PubMed PMID: 31528163.
29. Choi JE, Di Nardo A. Skin neurogenic inflammation. SeminImmunopathol. 2018; 40 (3): 249–59.
30. Vena GA, Cassano N, Leo ED, Calogiuri GF, Nettis E. Focus on the role of substance P in chronic urticaria. Clinical and Molecular Allergy. 2018; 16: 24.
31. Fujisawa D, Kashiwakura J, Kita H, Kikukawa Y, Fujitani Y, Sasaki- Sakamoto T, et al. Expression of Mas-related gene X2 on mast cells is upregulated in the skin of patients with severe chronic urticaria. J Allergy ClinImmunol. 2014; 134: 622–33.
32. Kocatürk E, Maurer M, Metz M, Grattan C. Looking forward to new targeted treatments for chronic spontaneous urticaria. Clin Transl Allergy. 2017; 7: 1.
33. Metz M, Krull C, Hawro T, Saluja R, Groffik A, Stanger C, et al. Substance P is upregulated in the serum of patients with chronic spontaneous urticaria. J Invest Dermatol. 2014; 134: 2833–6.
34. Zheng W, Wang J, Zhu W, Xu C, He S. Upregulated expression of substance P in basophils of the patients with chronic spontaneous urticaria: induction of histamine release and basophil accumulation by substance P. Cell Biol Toxicol. 2016; 32: 217–28.
35. Jans R, Sartor M, Jadot M, Poumay Y. Calcium entry into keratinocytes induces exocytosis of lysosomes. Archives of dermatological research. 2004; 296 (1): 30–41.
36. Vietri J, Turner SJ, Tian H, Isherwood G, Balp MM, Gabriel S. Effect of chronic urticaria on US patients: analysis of the National Health and Wellness Survey. Ann Allergy Asthma Immunol. 2015; 115 (4): 306–11.
37. Hojland CR, Andersen HH, Poulsen JN, Arendt-Nielsen L, Gazerani P. A human surrogate model of itch utilizing the TRPA1 agonist trans-cinnamaldehyde. ActaDermatoVenereologica. 2015; 95 (7): 798–803.
38. Gouin O, L’Herondelle K, Lebonvallet N, Le Gall-Ianotto C, Sakka M, Buhe V, et al. TRPV1 and TRPA1 in cutaneous neurogenic and chronic inflammation: pro-inflammatory response induced by their activation and their sensitization. Protein & Сell. 2017; 8 (9): 644–61.
39. Zabolinejad N, Molkara S, Bakhshodeh B, Ghaffari-Nazari H, Khoshkhui M. The Expression of Serotonin Transporter Protein in the Skin of Patients With Chronic Spontaneous Urticaria and Its Relation With Depression and Anxiety. Arch Dermatol Res. 2019; 311 (10): 825–31.
40. Dyke SM, Carey BS, Kaminski ER. Effect of stress on basophil function in chronic idiopathic urticaria. ClinExp Allergy. 2008; 38 (1): 86–92.
41. Kaufmann FN, Costa AP, Ghisleni G, Diaz AP, Rodrigues ALS, Peluffo H, et al. NLRP3 inflammasome-driven pathways in depression: clinical and preclinical findings. Brain Behav Immun. 2017; 64: 367–83.
42. Varghese R, Hui-Chan CWY, Bhatt T. Reduced Cognitive-Motor Interference on Voluntary Balance Control in Older Tai Chi Practitioners, J GeriatrPhysTher. Oct-Dec 2016; 39 (4): 190–9.
43. Ding W, Stohl LL, Xu L, Zhou XK, Manni M, Wagner JA, et al. Calcitonin gene-related peptide-exposed endothelial cells bias antigen presentation to CD4+ T cells toward a Th17 response. J Immunol. 2016; 196 (5): 2181–94.
44. Mikami N, et al. Calcitonin gene-related peptide is an important regulator of cutaneous immunity: effect on dendritic cell and T cell functions. J Immunol. 2011; 186: 6886–93.
45. Jimeno R, et al. Effect of VIP on the balance between cytokines and master regulators of activated helper T cells. Immunol Cell Biol. 2011; 90: 178–86.
46. Gianniou N, Giannakopoulou C, Dima E, Kardara M, Katsaounou P, Tsakatikas A, et al. Acute Effects of Smoke Exposure on Airway and Systemic Inflammation in Forest Firefighters. J Asthma Allergy. 2018; 11: 81–88.
47. Goto Y, Ishii H, Hogg JC, Shih C-H, Yatera K, Vincent R, et al. Particulate Matter Air Pollution Stimulates Monocyte Release from the Bone Marrow. American Journal of Respiratory and Critical Care Medicine. 2004; 170 (8): 891–7.
48. Terashima T, English D, Hogg JC, van Eeden SF. Release of polymorphonuclear leukocytes from the bone marrow by interleukin-8. Blood. 1998; 92 (3): 1062–9.
Review
For citations:
Mikryukova N.V., Kalinina N.M. Chronic urticaria associated with high-risk occupations. Extreme Medicine. 2021;23(1):48-55. https://doi.org/10.47183/mes.2021.006
Views:
13
Email this article 