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Case 1: 34-Year-Old Man Presenting With Itchy Hives for More Than 1 Year

Case 1: 34-Year-Old Man Presenting With Itchy Hives for More Than 1 Year


Patient Case Study

Time to Complete

30 minutes


January 28, 2016


January 28, 2017
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Maximum Credits

0.50 / AMA PRA Category 1 Credit(s)TM

Accredited Provider

This educational activity is provided by Haymarket Medical Education.

Commercial Supporter

Supported by an educational grant from Novartis Pharmaceuticals Corporation

Program Description

This case is part of a series entitled “Advancing the Management of Chronic Urticaria With State-of-the-Art Diagnostic Tools and Treatment Strategies.” Urticaria is a common condition that affects about 20% of people at some time during their lives and can be triggered by many substances or situations. Unfortunately, many patients with chronic idiopathic urticaria (also called chronic spontaneous urticaria) have persistent symptoms despite treatment with H1-antihistamines, even at high doses. This case investigates the challenges faced when diagnosing and treating a diabetic patient suffering from itchy hives with episodic angioedema for more than 1 year.

Intended Audience

This activity is intended for allergists/immunologists, dermatologists, primary care physicians, and other healthcare providers who diagnose and manage patients with chronic urticaria.

Educational Objectives

Upon completion of this activity, participants should be better able to:

  • Effectively evaluate and diagnose chronic urticaria subtypes
  • Implement appropriate evidence-based recommendations for first- and second-line treatment of patients with chronic urticaria
  • Analyze third-line treatments for chronic spontaneous urticaria and the evidence and considerations on the selection and use of new immunobiologic therapies
  • Utilize standardized tools to assess disease severity and response to treatment in patients who suffer from urticaria

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, HME requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs.


Allen Kaplan, MD
Clinical Professor of Medicine
Medical University of South Carolina
Charleston, SC

Dr. Kaplan serves on the speakers’ bureaus for Genentech, Novartis, and Shire (payment is made through the Robert Michael Educational Institute).

Accredited Provider Disclosure

The staff of Haymarket Medical Education have no disclosures to report with any commercial interests relative to this CME activity.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM. Physicians should claim only those credits commensurate with the extent of their participation in the activity.

Disclosure of Unlabeled Use

This educational activity may contain discussion of approved and/or investigational uses of agents that are not indicated by the FDA. Novartis and Haymarket Medical Education do not recommend the use of any agent outside of the labeled indications.


The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Novartis and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the accreditation of this activity, please contact


To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

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