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DOWNLOAD GP CME 2010 PROCEEDINGS BOOKLET (18mb PDF)

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Main Programme<br />

Main Programme<br />

Friday 10th June 2011<br />

81<br />

Associate Professor Rohan Ameratunga<br />

Urticaria - Concurrent Breakout Session Repeated<br />

Friday, 10 June 2011 Start 2:00pm Duration: 60mins Van Gogh<br />

Start 4:00pm Duration: 60mins Van Gogh<br />

Urticaria is a common problem. It is estimated that 20-30% of the general population will suffer urticaria<br />

at some time in their lives. Patients who have acute urticaria typically have symptoms lasting under six<br />

weeks. Potential allergic triggers include food allergy, drug allergy, latex allergy and allergy to bites and<br />

stings.<br />

Patients who have chronic urticaria have symptoms lasting over six weeks. Those with long standing<br />

urticaria are divided into those with idiopathic chronic urticaria and those with physical urticaria. Patients<br />

with physical urticaria typically have symptoms induced by triggers such as heat, cold, water, vibration<br />

etc.<br />

There is increasing evidence that patients with chronic urticaria have an autoimmune disorder.<br />

Experimentally, many of these patients have been shown to produce antibodies to mast cells which<br />

results in inappropriate degranulation. Generally laboratory tests are unhelpful in this disorder.<br />

In this talk treatment options including high dose antihistamines will be discussed. Refractory patients<br />

will need to be referred to specialised units for dietary manipulation and other medications. In general<br />

corticosteroids have a limited role as high doses are required to control symptoms.<br />

Notes<br />

Dr Rick Cutfield<br />

Diabetes Case Studies - Concurrent Breakout Session Repeated<br />

Friday, 10 June 2011 Start 2:00pm Duration: 60mins Monet<br />

Start 4:00pm Duration: 60mins Monet<br />

We will discuss in this session a number of short case studies to illustrate such issues as which drug to<br />

use after metformin in type 2 diabetes, when to start insulin and which insulin to choose, when and<br />

if metformin should be stopped in those with reduced renal function, issues with microalbuminuria,<br />

hypoglycaemia, and hopefully with time to answer your questions.<br />

Notes<br />

09-12 June 2011 | Energy Events Centre | Rotorua

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