
Can Periostin Serve as a Biomarker for Pediatric Urticaria?
Children with chronic spontaneous urticaria (CSU) had significantly lower serum periostin levels than those without the condition. These levels did not correlate with disease activity, however.
METHODOLOGY:
Researchers conducted a cross-sectional study to compare serum periostin levels between children with CSU and peers without the condition.
They recruited 84 children (median age, 9 years; 58.3% girls) with CSU — all receiving antihistamines — from an outpatient clinic between April 2018 and April 2019.
The control children did not have any known allergic, dermatologic, or chronic systemic conditions.
TAKEAWAY:
Mean serum periostin levels were significantly lower in the CSU group than in controls (56.41 ng/mL vs 71.68; P = .001).
Among children with CSU, those receiving a leukotriene receptor antagonist had significantly lower periostin levels than those not receiving that class of medication (44.32 vs 61.33 ng/mL; P = .009).
Serum periostin levels showed no significant correlation with disease activity, as measured using Urticaria Activity Score-7 and Urticaria Control Test scores.
IN PRACTICE:
'Serum periostin may provide insight into the immunological mechanisms underlying CSU in children,' the authors of the study wrote. 'Its potential utility should be further explored in longitudinal and interventional studies.'
SOURCE:
Gokce Velioglu Haslak, MD, with the Prof. Dr. Cemil Taşcıoğlu City Hospital, Istanbul, Turkey, was the corresponding author of the study, which was published online on June 24 in International Archives of Allergy and Immunology.
LIMITATIONS:
The cross-sectional design, small sample size, and a lack of standard pediatric periostin reference ranges complicated interpretation of the results.
DISCLOSURES:
The authors reported having no conflicts of interest.
This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
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