Should a patient with breakthrough urticaria, on maximal dosing of second generation H1 antihistamines with elevated CRP and anti-TPO antibodies, be treated with omalizumab to protect the thyroid from autoantibodies and improve urticaria control?

This patient likely has chronic autoimmune (TypeIIB) urticaria. Would obtain a CU index. It is likely based on data that OMA would be less effective at currently approved doses. There is data that increasing the dose or frequency of administration of OMA may be effective in those patients with CAU n...