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Peer Exchange: Evolving Perspectives and Treatment Strategies in Chronic Spontaneous Urticaria - Episode 5

Role of Testing in CSU Diagnosis

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Panelists discuss the recommended diagnostic testing for chronic spontaneous urticaria (CSU), noting that extensive testing is not necessary and that routine blood counts, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), IgG anti-thyroid peroxidase (TPO), and total IgE are adequate, while also addressing the limited role of biopsy; they further explore how disease severity is assessed using tools like Urticaria Activity Score (UAS7) and Urticaria Control Test (UCT).

Video content above is prompted by the following:

  • Is testing recommended for diagnosis, and if so, which kind?
    • Extensive testing not needed: routine blood count. ESR and/or CRP, and IgG anti-TPO and total IgE (according to guidelines)
    • What is the role, if any, of biopsy in diagnostic testing?
  • How is disease severity assessed?
    • UAS7
    • UCT
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