title: Determination of dermatology life quality index, and serum C-reactive protein and plasma interleukin-6 levels in patients with chronic urticaria.
abstract: BACKGROUND
  C-reactive protein (CRP) and interleukin-6 (IL-6), which is one of its most important simulators, were determined in great amounts in the sera of patients with chronic urticaria (CU).
  
  
  OBJECTIVE
  To determine the levels of IL-6 in patients with urticaria, and evaluate its relationship with urticaria activity scores and Dermatology Life Quality Index (DLQI).
  
  
  METHODS
  Fifty-three patients with CU were included in the study successively by determining their urticaria activity scores (0-3) and DLQI (0-5). The CRP and IL-6 were measured by immune assay methods. Thirty-two healthy subjects were included as a control group.
  
  
  RESULTS
  Serum levels of IL-6 and CRP were significantly higher in patients with CU compared to healthy controls (p < 0.001, p = 0.026 respectively). There was a statistically significant correlation among urticaria activity scores and IL-6 and CRP concentration (p = 0.004, p = 0.042). This correlation was more significant in patients who had moderate and severe disease activity scores than in those who had mild disease activity score (p < 0.001, p < 0.001, respectively). There was a statistically significant association between DLQI and IL-6 (p = 0.025). This correlation was very significant in patients who had severe and very severe disease activity scores (p < 0.001, p < 0.001, respectively). DLQI scores and serum levels of IL-6 were significantly different in the very severe group compared to healthy controls (p = 0.024).
  
  
  CONCLUSIONS
  The levels of CRP and IL-6 are increased in patients with CU. A relationship of DLQI and urticaria activity scores with CRP and IL-6 was found. These findings support the relationship between the inflammatory process in CU and the clinical findings.
authors.affiliation: Department of Dermatology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Ucmak
authors.forename: Meltem
authors.initials: M
authors.lastname: Akkurt
authors.forename: Gülten
authors.initials: G
authors.lastname: Toprak
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Yesilova
authors.forename: Enver
authors.initials: E
authors.lastname: Turan
authors.forename: Ismail
authors.initials: I
authors.lastname: Yıldız
keywords: Dermatology Life Quality Index; chronic urticaria; interleukin-6