Comorbidities and Disease Burden in CSU
In their interview Drs. Maurer and Ensina shed light on the significant burden of comorbidities in CSU.
Learning objectives
- Recognize the common comorbidities associated with CSU, including anxiety, depression and autoimmune diseases
- Recognize the role of thorough patient questioning in uncovering comorbidities and guiding further diagnostic testing
Description
An informal interview conducted by Drs. Maurer and Ensina providing their thoughts on the patient journey in managing chronic spontaneous urticaria (CSU) presents significant challenges, with the latest guidelines emphasizing the importance of the 'seven C's' in diagnostic workup. Despite this, the focus on comorbidities in CSU remains insufficient. Anxiety and depression emerge as prevalent comorbidities, influencing patients' quality of life profoundly. Additionally, autoimmune diseases and allergies demand attention due to their coexistence with CSU. Drs. Maurer and Ensina stress the importance of thorough patient questioning to uncover underlying autoimmune comorbidities and advocate for vigilant monitoring, especially for those refractory to treatment. Hashimoto's thyroiditis stands out among prevalent comorbidities, warranting inclusion of IgG anti-TPO antibody screening in guideline revisions.
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