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What do you know? It's a quick quiz!

The 'idiopathic'
in CIU means
the condition:

Has a great
sense of humour
Shows up when
you least expect it
Is not caused by
clearly identifiable
triggers
Starts and
stops suddenly

Correct. The ‘idiopathic’ in CIU means the condition is not caused by clearly identifiable triggers.

Sorry, wrong answer. The ‘idiopathic’ in CIU means the condition is not caused by clearly identifiable triggers.

“My scores have come down a lot with my new treatment!”

Weekly Urticaria Activity Score (UAS7)

Complete this questionnaire over 7 consecutive days. Your responses will help your doctor assess how active your chronic idiopathic urticaria (CIU) is. Please select the score that corresponds to the number of wheals you have (see description in chart below) and the score that represents the intensity of your pruritus (itching) on a daily basis (see below the chart). Remember to bring your completed questionnaire to your next visit.

Patient Name*
Physician Name*
Date
Daily numbers of wheals
+
Daily intensity of pruritus
=
Daily UAS score*
Example
Numbers of wheals
+
Number of pruritus
3
Day 1
Numbers of wheals
+
Number of pruritus
Day 2
Numbers of wheals
+
Number of pruritus
Day 3
Numbers of wheals
+
Number of pruritus
Day 4
Numbers of wheals
+
Number of pruritus
Day 5
Numbers of wheals
+
Number of pruritus
Day 6
Numbers of wheals
+
Number of pruritus
Day 7
Numbers of wheals
+
Number of pruritus

Adapted from Zuberbier et al.

Assessment of disease activity in patients with CIU (UAS scale)

Score : 0
Wheals
Pruritus
None
None
Score : 1
Wheals
Pruritus
Mild (less than 20 wheals/24 hours)
Mild (present but not annoying or troublesome)
Score : 2
Wheals
Pruritus
Moderate (20-50 wheals/24 hours)
Moderate (troublesome but does not interfere with normal daily activity or sleep)
Score : 3
Wheals
Pruritus
Intense (more than 50 wheals/24 hours or large confluent areas of wheals)
Intense (severe pruritus, which is sufficiently troublesome to interfere with normal daily activity or sleep)

Your UAS7 will provide you and your doctor with an accurate record of just how severe your wheals (hives) are and how frequently you have pruritus (itch) over 7 days. The score can range from 0 to 42.

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questionnaire
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questionnaire as PDF

Remember to complete this questionnaire for your next doctor's visit

*The sum of the daily number of wheals and daily intensity of pruritus.

†The sum of the daily UAS scores over 7 consecutive days.

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