iarjmsIARJMSIARJMS2708-359410.47310/iarjms.2021.v02i02.039Frequency and Characteristics of Associated Systemic Symptoms among Chronic Spontaneous Urticaria Patients in Tertiary Care HospitalShailjaChauhanVikantVermaMD (Dermatology, Venereology and Leprosy) Medical Officer, Civil hospital, Rampur, District Shimla, Himachal Pradesh, IndiaMD (Medicine) Medical Officer, Civil hospital, Rampur, District Shimla, Himachal Pradesh, IndiaBackground:  Most of the Patients with chronic spontaneous urticaria report systemic complaints. Therefore present study was done to evaluate the frequency and characteristics of associated systemic symptoms amongpatients with Chronic Spontaneous Urticaria. Methods: All 100 consecutive patients of chronic urticaria aged 18 years and above attending the outpatient Dermatology, Venereology & Leprosy clinic of Dr. R. P. Govt. Medical College, Kangra (Tanda), Himachal Pradesh between April 2016 and March 2017. Information on age, gender, symptom duration, previous medical history etc. was collected. Results: The study comprised 100 consecutive patients with chronic Spontaneous urticaria and had 25 males and 75 females (M:F=1:3) aged between 18 and 69 (mean±SD = 36.12±10.88) years. Among the total patients, maximum 32 patients had feeling of hot or cold, 23 patients experienced general symptoms like Headache, Loss of concentration, Malaise, Lassitude, Feverish feel. Similarly, flushing was experienced by 20 patients .Gastrointestinal symptoms like Nausea, Vomiting, Diarrhea, indigestion & pain abdomen as well as  joint symptoms such as joint pains and swelling was seen in 18 patients each. On the other hand, cardio-respiratory symptoms like Syncope, Palpitations Breathlessness /wheeze was seen in 11 patients. Among the total patients , 34 patients experienced 1 associated systemic symptoms,25 patients  experienced 2 associated systemic symptoms,  17 patients experienced 3 associated systemic symptoms, 6 patients experienced 4 associated systemic symptoms , 1 patient experienced 5 associated systemic symptoms while 17 patients experienced no associated systemic symptoms. Conclusions: The present study concluded that most of the patients of Chronic Spontaneous Urticaria experienced one or more associated systemic symptoms and Feeling of hot or cold, Headache, Loss of concentration, Malaise, Lassitude & Feverish feel were the most common experienced associated systemic symptoms.