Metadata

Name Urticaria (urticaria)
Category Skin
Sex
Adult Yes
UUID b60045a5-77ff-4728-9d2c-d5b42646a2ad
Definition A vascular reaction of the skin characterized by erythema and wheal formation due to localized increase of vascular permeability. The causative mechanism may be allergy, infection, or stress.

Ontologies

Disease Ontology (DOID) DOID_1555
GWAS Catalogue EFO_0005531
MeSH D014581
SNOMED-CT 126485001
FinnGen L12_URTICARIA

Key Summary Statistics

Cases from any source

Total 11123
Female (%) 7496 (67%)
Male (%) 3627 (33%)

Year first recorded

urticaria year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced urticaria cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of urticaria

Baseline prevalence stratified by sex

Female 371.43 (358.71,384.16)
Male 206.49 (196.06,216.92)

Incidence stratified by sex

Female 22.68 (21.41,23.94)
Male 13.84 (12.77,14.91)

Incidence stratified by age

Ages 40-44 18.39 (15.68,21.1)
Ages 45-49 18.24 (15.92,20.56)
Ages 50-54 17.77 (15.65,19.88)
Ages 55-59 19.05 (17.06,21.03)
Ages 60-64 19.18 (17.47,20.9)
Ages 65-69 18.47 (16.55,20.39)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB urticaria prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 398 (380,418) 409 (394,425) 422 (409,436)
CALIBER 489 (483,494) 509 (503,516) 517 (509,524)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 406(361,454) 421(387,457) 463(434,494)
Low 410(365,459) 413(379,449) 418(390,448)
Medium 395(352,441) 415(381,451) 416(387,446)
High 362(324,403) 400(368,435) 422(392,454)
Most deprived 421(382,462) 398(366,433) 384(354,415)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 419(397,441) 432(415,450) 442(427,457)
Scotland 191(155,232) 238(207,271) 211(185,240)
Wales 527(449,615) 472(416,533) 548(495,606)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153595, Events=126

Factor Level Hazard Ratio P value
BMI overweight 0.75 (0.51, 1.1) 0.143
BMI obese 0.53 (0.31, 0.88) 0.014
BMI underweight 0 (0, Inf) 0.992
smoking previous 1.05 (0.71, 1.56) 0.804
smoking current 1.31 (0.76, 2.25) 0.339
hypertension yes 1.64 (1.09, 2.47) 0.0186

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1563 urticaria
41202 Diagnoses - main ICD10 L50 Urticaria
41204 Diagnoses - secondary ICD10 L50 Urticaria
40001 Underlying (primary) cause of death: ICD10 L50 Urticaria
40002 Contributory (secondary) causes of death: ICD10 L50 Urticaria
42040 GP clinical event records 2F82.00 O/E - weals present
42040 GP clinical event records 2F8..00 O/E - weals present
42040 GP clinical event records 2F8Z.00 O/E - weals NOS
42040 GP clinical event records M12A200 Solar urticaria
42040 GP clinical event records M280.00 Allergic urticaria
42040 GP clinical event records M280.11 Drug induced urticaria
42040 GP clinical event records M281.00 Idiopathic urticaria
42040 GP clinical event records M282000 Cold urticaria
42040 GP clinical event records M282100 Thermal urticaria
42040 GP clinical event records M282111 Heat urticaria
42040 GP clinical event records M282.00 Urticaria due to cold and heat
42040 GP clinical event records M282z00 Urticaria due to cold and heat NOS
42040 GP clinical event records M283.00 Dermatographic urticaria
42040 GP clinical event records M283.11 Factitial urticaria
42040 GP clinical event records M284.00 Vibratory urticaria
42040 GP clinical event records M285.00 Cholinergic urticaria
42040 GP clinical event records M286.00 Contact urticaria
42040 GP clinical event records M287.00 Physical urticaria
42040 GP clinical event records M28..00 Urticaria
42040 GP clinical event records M28y000 Urticaria geographica
42040 GP clinical event records M28y100 Menstrual urticaria
42040 GP clinical event records M28y200 Urticaria persistans
42040 GP clinical event records M28y.00 Other specified urticaria
42040 GP clinical event records M28y.11 Nettle rash
42040 GP clinical event records M28yz00 Other specified urticaria NOS
42040 GP clinical event records M28z.00 Urticaria NOS
42040 GP clinical event records M28z.11 Hives
42040 GP clinical event records Myu4000 [X]Other urticaria
42040 GP clinical event records Myu4.00 [X]Urticaria and erythema
42040 GP clinical event records PH32100 Urticaria pigmentosa
42040 GP clinical event records XE1BT Urticaria NOS
42040 GP clinical event records X5050 Solar urticaria
42040 GP clinical event records XE1BS Other specified urticaria
42040 GP clinical event records X508P Physical urticaria
42040 GP clinical event records 2F8.. O/E - weals present
42040 GP clinical event records XE1BR Allergic urticaria