All Things Urticaria – Learning about urticaria with Prof. Dr. Torsten Zuberbier

Visualizing Urticaria Worldwide

All Things Urticaria – Learning about urticaria with Prof. Dr. Torsten Zuberbier

Show Notes

In this episode of the GA²LEN Urticaria Podcast, Professor Torsten Zuberbier is joined by Professor Simon Francis Thomsen from Denmark to introduce an exciting new global initiative within the UCARE network: WOW – Wheals and Angioedema of the World. The WOW project aims to create a worldwide, representative online image repository of urticaria and angioedema across all skin types, ethnicities, and continents. The initiative addresses a major challenge in everyday clinical practice: most patients do not present with visible wheals during clinic visits, despite experiencing severe symptoms at other times of the day.

They discuss: 🔹 Why are patient-taken images crucial in urticaria care? 🔹 How can photographs improve diagnosis, monitoring, and treatment decisions? 🔹 What can we learn from the shape, size, duration, and evolution of wheals? 🔹 How could images, registries, biobanks, and digital tools be combined in the future?

The discussion highlights how smartphones have already changed patient behavior, with most patients documenting their symptoms themselves. Looking ahead, the episode explores how artificial intelligence, digital imaging, patient-reported outcomes, and environmental data could be integrated to better understand disease trajectories and personalize treatment. WOW represents a key step toward a more visual, data-driven, and patient-centered future in urticaria research and care.

Key Learnings from the Episode: Urticaria and angioedema are rarely visible during clinic visits despite severe patient burden. Most patients already take high-quality images of their wheals using smartphones. The WOW project will create a global, diverse image atlas of urticaria and angioedema. Existing online images are often non-representative of different skin types and populations. Sequential photos help assess wheal duration, evolution, and treatment response. Wheal morphology may provide clues about underlying mechanisms and therapy response. Digital images could be combined with registries, biobanks, and patient-reported outcomes. Artificial intelligence may help identify patterns and predict disease course in the future. Taking photos in consistent lighting and angles improves clinical usefulness. Visual documentation strengthens communication between patients and physicians.

Chapters: 00:00 Introduction to Urticaria and Angioedema 03:47 The WOW Project: A Global Initiative 06:48 Patient Involvement: Capturing Images of Urticaria 09:49 Practical Tips for Patients on Taking Pictures 12:48 Integrating Data for Better Patient Outcomes 15:25 Future of Urticaria Research and Closing Thoughts

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More from All Things Urticaria – Learning about urticaria with Prof. Dr. Torsten Zuberbier

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In this episode of the UCARE Global Allergy and Asthma Excellence Network podcast on Urticaria, Prof. Torsten Zuberbier speaks with Prof. Angelo Valerio Marzano from Milan about urticarial vasculitis and its challenging differential diagnoses. They explore how clinicians can distinguish urticarial vasculitis from chronic urticaria and other dermatological or systemic conditions and discuss practical approaches to diagnosis and treatment.

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In this episode of the Global Allergy and Asthma Excellence Network UCARE Podcast on Urticaria, Prof. Torsten Zuberbier speaks with Prof. Marta Ferrer from Spain about an important question: Is chronic spontaneous urticaria (CSU) only a skin disease, or is it a systemic inflammatory condition? Together, they discuss emerging evidence showing that urticaria affects far more than the skin and how this should influence patient management.

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In this episode of the UCARE Global Allergy and Asthma Excellence Network (Global Allergy and Asthma Excellence Network) podcast on Urticaria, Prof. Torsten Zuberbier speaks with Prof. Akio Tanaka from Hiroshima University, Japan, about an important question many patients ask: how long will chronic urticaria last, and can treatment influence the course of the disease? They discuss disease modification, symptom control, and future research directions in urticaria management.

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May 19, 2026

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