Stress-Induced Pruritus in Chronic Urticaria

Date of Award

Spring 2025

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Michelle J. Thal, M. Ed, PA-C

Abstract

Chronic urticaria is a recurrent skin condition impacting patients' quality of life. The disorder involves external and/or internal triggers which cause the activation of mast cells. Among its triggers, stress has a major role that often leads to stress-induced pruritus alongside mast cell activity and histamine release. Research underscores the link between stress and immune responses in chronic urticaria. Current management guidelines recommend stepwise pharmacologic options, including antihistamines and biologics therapy such as omalizumab. Additionally, incorporating interventions such as cognitive behavioral therapy can further improve patient outcomes.

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Stress-Induced Pruritus in Chronic Urticaria

Chronic urticaria is a recurrent skin condition impacting patients' quality of life. The disorder involves external and/or internal triggers which cause the activation of mast cells. Among its triggers, stress has a major role that often leads to stress-induced pruritus alongside mast cell activity and histamine release. Research underscores the link between stress and immune responses in chronic urticaria. Current management guidelines recommend stepwise pharmacologic options, including antihistamines and biologics therapy such as omalizumab. Additionally, incorporating interventions such as cognitive behavioral therapy can further improve patient outcomes.