[Granulocytic "deactivation" in cold urticaria]. / La "deattivazione" granulocitaria nell'orticaria da freddo.

Recent advance about pathogenesis of Idiopathic acquired Cold-induced Urticaria underline the role of Neutrophils that, drawn by a specific mast-cell factor (HMW-NCF) might characterise precise stages of disease and presumably specific histologic "subset". This factor together with the chemotactic factor for eosinophils (ECF) can determine the so called neutrophils' "deactivation". In this study we have valued the role of neutrophils in six patients with idiopathic cold-induced urticaria and in a group of control including both patients with other forms of urticaria and healthy controls. The results of our research show the absence of alterations either in cellular neutrophilic chemotaxis or the serum one. Furthermore we have been able to determine that this "deactivation" is specific for idiopathic cold-induced urticaria and that it does not happen in the other forms of physical or non urticaria.

[Preliminary experiences with chemotactic activity of CGRP using the skin window test]. / Esperienze preliminari sull'attività chemiotattica del CGRP con lo skin window test.

The neuropeptide CGRP (Calcitonin Gene-Related Peptide) develops in sensory fibers of the human skin a series of well proven biological effects and seems particularly correlated with the neurogenic inflammation. In the site of intradermic injection of 50 pmol of CGRP, neutrophilic inflammation was documented. For this reason we have studied using the skin window test the chemotactic actions of this neuropeptide in vivo. The apposition of CGRP (12.5 pmol) on the abraded skin modifies neutrophilic egress, increasing that effect in a significant way in comparison with controls. The action on neutrophils of CGRP helps to explain the importance of this neuropeptide in the genesis of the "Neurogenic inflammation".