eCase Challenge: Tackling Chronic Urticaria: Strategies for Achieving Improved Patient Outcomes
Chronic urticaria is a skin disorder characterized by the occurrence of hives, and/or angioedema for more than 6 weeks. Chronic urticaria can be further divided into two subtypes: chronic idiopathic urticaria (CIU, also known as chronic spontaneous urticaria (CSU)), which occurs in the absence of specific external triggers; and chronic inducible urticaria (CIndU), which occurs in response to specific stimuli, such as heat, cold, or pressure. CIU is more common, occurring in approximately two-thirds of all chronic urticaria cases. CIU is a significant cause of discomfort and significantly impacts quality of life in patients who suffer from this disorder. Many patients with CIU experience symptoms for years prior to receiving diagnosis or adequate treatment. Many patients also do not receive appropriate treatment despite the fact that several therapeutic options are available. Even in those who do receive treatment, escalation to second- or third-line therapies is often delayed. Thus, ongoing education on CIU is needed, especially given that most patients will see their primary care clinician first before being referred to specialty care.
At the conclusion of this activity, the PA should be better able to:
- Identify the classical chronic idiopathic urticaria (CIU) symptoms.
- Differentiate the clinical presentation of CIU from other dermatologic diseases.
- Evaluate patients suspected of having CIU with the appropriate clinical and laboratory testing.
- Use guideline recommended pharmacologic therapies appropriately to treat patients with CIU.