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10.1016/j.jaip.2014.06.004

http://scihub22266oqcxt.onion/10.1016/j.jaip.2014.06.004
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C4165520!4165520!25213055
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suck abstract from ncbi


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pmid25213055      J+Allergy+Clin+Immunol+Pract 2014 ; 2 (5): 601-6
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  • Double-Blind Placebo Controlled Trial of Dapsone in Antihistamine Refractory Chronic Idiopathic Urticaria #MMPMID25213055
  • Morgan M; Cooke A; Rogers L; Adams-Huet B; Khan DA
  • J Allergy Clin Immunol Pract 2014[Sep]; 2 (5): 601-6 PMID25213055show ga
  • Background: Management of antihistamine refractory CIU has poorly defined therapeutic options. Objective: To evaluate the efficacy of dapsone in antihistamine refractory CIU compared to placebo. Methods: Twenty-two patients with antihistamine refractory CIU were randomly assigned to 100 mg of dapsone daily or placebo for 6 weeks in a 14 week double-blind, placebo-controlled crossover trial. Endpoints were measured from a daily diary reflecting weekly hive score (WHS) and weekly itch score (WIS) and a visual analog score. Secondary to a carryover effect, the first period results were analyzed as a parallel design comparing placebo to dapsone directly using repeated measures analysis. Results: After 6 weeks patients in the dapsone arm showed mean improvement over baseline in VAS (+2.3 [0.6,4.1], p=0.01), urticaria score (-3.5 [-6.2, -0.9], p=0.01), and itch score (-4.8 [-7.6, -2.1], p=0.001), whereas the placebo arm showed no improvement over baseline for VAS, urticaria or itch scores. Dapsone showed greater improvement compared to placebo for itch (p=0.047) and VAS (p=0.04). Of the 22 patients, 3 showed complete resolution of hives and itch with dapsone, while 31% and 41% had ? 50% resolution of hives and itch respectively. No serious adverse effects were observed from dapsone. Conclusion: To our knowledge, this is the first DBPC study of dapsone in CIU and suggests dapsone has efficacy in antihistamine refractory CIU patients.
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