AI Article Synopsis

  • The study investigates the links between chronic spontaneous urticaria (CSU), Helicobacter pylori infection, and small intestinal bacterial overgrowth.
  • Patients with CSU underwent treatment for H. pylori (11 patients) and small intestinal bacterial overgrowth (13 patients) and were evaluated before and 4 weeks after therapy.
  • Results showed that treating H. pylori significantly improved CSU symptoms, while treating small intestinal bacterial overgrowth did not result in any clinical improvement, indicating that H. pylori treatment may benefit CSU patients.

Article Abstract

The aim of this study is to assess the associations between chronic spontaneous urticaria (CSU), Helicobacter pylori infection and small intestinal bacterial overgrowth. Forty- eight patients with CSU were studied by scoring the urticaria activity and assesing the quality of life. Patients with H. pylori infection (n=11) or small intestinal bacterial overgrowth (n=13) were specifically treated for one week and clinically evaluated both before and 4 weeks after the eradication therapy. Eradication of H. pylori infection led to a significant improvement in CSU (p<0.002). In contrast, eradication of small intestinal bacterial overgrowth was not associated with any clinical improvement in CSU, despite the fact that these patients had statistically significant more urticaria activity at baseline. Thus there is no evidence to support the eradication of small intestinal bacterial overgrowth in CSU, but eradication of H. pylori infection may result in an improvement of the disease.

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http://dx.doi.org/10.2340/00015555-1373DOI Listing

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