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We have read the original article entitled: "Quality of life in chronic urticaria and its relationship with the economic impact and control of the disease in patients treated at the University Hospital of Monterrey, Mexico",  by Arias-Cruz et al. In this interesting article, the authors found that 72.2% of patients with chronic urticaria is obese and overweight. Given that Mexico is one of the countries with the highest number of inhabitants with weight problems (70% of the adult population is overweight or obese), these findings would have an implication in the management of patients with chronic urticaria. The authors even detail prevalences of 17% for hypertension (more than double that of international studies) and 30% for metabolic syndrome in patients with chronic urticaria, which could be associated with more severe and uncontrolled urticaria.