What are the surprising causes of hives. How can you identify hives on different skin tones. When should you seek medical attention for hives. What are the common symptoms and characteristics of hives. How can stress, exercise, and temperature changes trigger hives.

Understanding Hives: Symptoms and Characteristics

Hives, also known as urticaria, are a common skin reaction characterized by raised, itchy bumps. These welts can appear anywhere on the body and vary in size from tiny pinpricks to large patches covering entire limbs. But what exactly causes these mysterious outbreaks?

Hives are triggered by the release of histamine in the body. This chemical reaction can be sparked by various factors, some of which may surprise you. While the cause isn’t always apparent, understanding the common symptoms can help you identify hives quickly.

Key Characteristics of Hives:

• Raised, itchy bumps
• Tender to the touch
• Round, oval, or irregular shapes
• Clearly defined borders
• Color variations depending on skin tone

Do hives look different on various skin tones? Indeed, they do. On lighter skin, hives typically appear red or pink. However, on darker skin, they may be slightly lighter or darker than the surrounding area. Regardless of skin color, the raised nature and itchiness of hives remain consistent.

Unexpected Triggers: From Stress to Exercise

While allergic reactions are commonly associated with hives, several unexpected factors can trigger an outbreak. Understanding these surprising causes can help you better manage and prevent future episodes.

Stress-Induced Hives

Can stress really cause hives? Absolutely. Stress can elevate your body temperature and release adrenaline, potentially triggering a histamine response. These stress-related hives often appear on the face, neck, chest, and arms. Individuals with eczema, allergies, or sensitive skin may be more susceptible to stress-induced hives.

Exercise-Related Outbreaks

Is your workout causing hives? It’s possible. Exercise-induced urticaria occurs when physical activity triggers the release of acetylcholine, a chemical that can irritate skin cells. Symptoms may include hives, shortness of breath, headaches, flushing, and stomach cramps.

Temperature Changes and Hives

Have you ever broken out in hives after a sudden temperature change? This phenomenon, known as cold urticaria, can occur when you’re exposed to extreme hot or cold temperatures. For instance, stepping into a hot shower or diving into a cool pool might trigger a histamine release, resulting in hives.

Medical Conditions and Hives: When to Seek Help

While many cases of hives are harmless and resolve on their own, persistent or severe outbreaks may indicate an underlying medical condition. It’s crucial to recognize when hives might be a sign of something more serious.

Chronic Hives and Autoimmune Disorders

Are your hives lasting longer than six weeks? This could be a sign of an autoimmune condition such as lupus, type 1 diabetes, thyroid disease, or rheumatoid arthritis. Chronic hives that persist for extended periods warrant a medical evaluation to rule out these underlying causes.

Vasculitis and Hives

Have you noticed painful, bruise-like hives that last for several days? This could be a sign of vasculitis, an inflammation of blood vessels. Unlike typical hives, these lesions may leave bruises and require professional medical treatment.

Infections and Hives: The Body’s Immune Response

Surprisingly, both viral and bacterial infections can trigger hives as part of the body’s immune response. Understanding this connection can help you better interpret your symptoms.

Viral Infections and Hives

Did you know that the common cold can cause hives? As your body fights off viral infections, it may produce hives as a side effect. These typically appear towards the end of the illness as you start to recover. While more common in children, this can occur in adults as well.

Bacterial Infections and Skin Reactions

Can strep throat or a urinary tract infection cause hives? Indeed, they can. As your body battles bacterial invaders, it may produce hives as part of its immune response. These hives usually subside as antibiotics help clear the infection, often peeling before fully healing.

Medication-Induced Hives: When Treatment Becomes the Trigger

Ironically, the very medications designed to improve our health can sometimes cause allergic reactions, including hives. Understanding this risk can help you stay vigilant about potential side effects.

Common Medications That May Cause Hives

• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Antibiotics
• Opioids

Are hives always a sign of a severe allergic reaction to medication? Not necessarily, but they can be the first symptom of anaphylaxis, a life-threatening allergic reaction. If you develop hives after taking a new medication, monitor yourself closely for other symptoms such as shortness of breath, wheezing, vomiting, or loss of consciousness.

Environmental Factors and Hives: The Hidden Culprits

Your environment plays a significant role in skin health, and certain factors may unexpectedly trigger hives. Being aware of these potential triggers can help you avoid future outbreaks.

Tight Clothing and Skin Irritation

Can your clothes cause hives? Surprisingly, yes. Tight-fitting garments can create friction against your skin, leading to irritation and hives. Moreover, close-fitting clothes can push bacteria on your skin’s surface into your pores and hair follicles, potentially causing a reaction.

Allergens in Your Environment

While not always immediately apparent, environmental allergens like pollen, pet dander, or dust mites can trigger hives in sensitive individuals. If you notice recurring hives, consider potential allergens in your home or workplace that might be responsible.

Emergency Situations: When Hives Become Life-Threatening

While most cases of hives are harmless, they can occasionally be a sign of a severe allergic reaction. Knowing when to seek emergency care could be life-saving.

Recognizing Anaphylaxis

How can you tell if hives are part of a more serious reaction? Watch for these additional symptoms of anaphylaxis:

• Shortness of breath or wheezing
• Swelling of the throat or tongue
• Dizziness or fainting
• Nausea or vomiting
• Rapid pulse

If you experience these symptoms along with hives, especially after exposure to a known allergen or new medication, seek emergency medical care immediately. Use an EpiPen if you have been prescribed one, and call for an ambulance rather than attempting to drive yourself to the hospital.

Managing and Treating Hives: From Home Remedies to Medical Interventions

While the underlying cause of hives should be addressed, there are several ways to manage symptoms and find relief. From simple home remedies to medical treatments, various options can help soothe your skin and reduce discomfort.

Home Remedies for Hives Relief

What can you do at home to alleviate hive symptoms? Try these simple remedies:

• Apply a cool, damp cloth to the affected area
• Take an oatmeal bath to soothe itchy skin
• Use over-the-counter antihistamines to reduce itching and swelling
• Wear loose, breathable clothing to avoid further irritation
• Avoid hot showers or baths, which can exacerbate symptoms

Medical Treatments for Persistent Hives

When should you consider medical treatment for hives? If home remedies aren’t providing relief or if your hives persist for more than a few days, it’s time to consult a healthcare professional. They may recommend:

1. Prescription-strength antihistamines
2. Oral corticosteroids for severe cases
3. Topical treatments to reduce itching and inflammation
4. Immunosuppressants for chronic hives related to autoimmune conditions

Remember, while these treatments can provide relief, identifying and addressing the underlying cause of your hives is crucial for long-term management.

Preventing Future Hive Outbreaks: Lifestyle Changes and Awareness

While it’s not always possible to prevent hives, especially when the cause is unclear, there are steps you can take to reduce your risk of future outbreaks. By making certain lifestyle changes and increasing your awareness of potential triggers, you can minimize the frequency and severity of hive episodes.

Identifying and Avoiding Triggers

How can you pinpoint your personal hive triggers? Keep a detailed diary of your hive outbreaks, noting:

• Foods consumed in the 24 hours before the outbreak
• Medications taken
• Environmental factors (temperature, humidity, exposure to allergens)
• Stress levels and emotional state
• Physical activities or exercise

By tracking these factors, you may be able to identify patterns and avoid specific triggers in the future.

Stress Management Techniques

Given the link between stress and hives, implementing stress-reduction techniques can be beneficial. Consider incorporating these practices into your daily routine:

1. Regular exercise (be mindful of exercise-induced hives)
2. Meditation or mindfulness practices
3. Deep breathing exercises
4. Yoga or tai chi
5. Adequate sleep and rest

Skin Care and Protection

How can you protect your skin from potential irritants? Follow these tips:

• Use gentle, fragrance-free skincare products
• Avoid harsh soaps and detergents
• Moisturize regularly to maintain skin barrier function
• Protect your skin from extreme temperatures
• Wear loose, breathable clothing

By implementing these preventive measures, you can reduce your risk of hive outbreaks and maintain healthier, more comfortable skin.

Understanding the Emotional Impact of Chronic Hives

While the physical symptoms of hives are well-documented, the emotional toll of chronic or recurrent hives is often overlooked. Dealing with unpredictable outbreaks can significantly impact an individual’s quality of life, affecting everything from self-esteem to social interactions.

The Psychological Effects of Chronic Hives

How can recurring hives affect mental health? Chronic hives may lead to:

• Anxiety about future outbreaks
• Depression due to physical discomfort and appearance concerns
• Social isolation to avoid triggering situations
• Sleep disturbances from itching and discomfort
• Reduced self-confidence

Recognizing these potential psychological impacts is crucial for comprehensive care. If you’re struggling with the emotional aspects of chronic hives, consider seeking support from a mental health professional who can provide coping strategies and emotional support.

Building a Support Network

How can you find support when dealing with chronic hives? Consider these options:

1. Join online support groups for individuals with chronic skin conditions
2. Educate friends and family about your condition to foster understanding
3. Connect with a dermatologist or allergist who specializes in chronic hives
4. Explore patient advocacy organizations for resources and community

Remember, you’re not alone in your experience with hives. Building a strong support network can provide both practical advice and emotional comfort as you navigate life with this condition.

Advances in Hives Research: New Treatments on the Horizon

As our understanding of hives and their underlying mechanisms continues to grow, researchers are exploring new and innovative treatments. These advancements offer hope for individuals struggling with chronic or treatment-resistant hives.

Targeted Therapies for Chronic Hives

What new treatments are being developed for chronic hives? Some promising areas of research include:

• Biologics that target specific pathways in the immune system
• Novel antihistamines with fewer side effects
• Immunomodulatory drugs to regulate the immune response
• Personalized treatment approaches based on genetic factors

While many of these treatments are still in clinical trials, they represent exciting possibilities for more effective hive management in the future.

The Role of the Microbiome in Hives

How might the bacteria living on and in our bodies affect hives? Emerging research suggests that the skin and gut microbiome may play a role in hive development and severity. Scientists are exploring potential treatments that target the microbiome, such as:

1. Topical probiotics to promote a healthy skin microbiome
2. Dietary interventions to support gut health
3. Microbiome transplants for severe cases

While more research is needed, these innovative approaches could offer new avenues for hive prevention and treatment.

Living with Hives: Adapting and Thriving

Despite the challenges posed by hives, many individuals learn to manage their condition effectively and lead fulfilling lives. Adapting to life with hives involves a combination of medical management, lifestyle adjustments, and a positive mindset.

Practical Tips for Daily Living

How can you navigate daily life with hives? Consider these practical strategies:

• Keep a “hive kit” with antihistamines, cool packs, and soothing lotions
• Plan ahead for potential trigger situations (e.g., outdoor events, travel)
• Communicate your needs clearly with colleagues, friends, and family
• Explore clothing options that minimize skin irritation
• Develop relaxation techniques to manage stress-induced outbreaks

Embracing Self-Advocacy

How can you become your own best advocate when living with hives? Consider these approaches:

1. Educate yourself about your condition and treatment options
2. Keep detailed records of your symptoms and treatments
3. Ask questions and seek second opinions when necessary
4. Advocate for workplace accommodations if needed
5. Share your experience to raise awareness and support others

By taking an active role in your health management and embracing self-advocacy, you can navigate the challenges of living with hives more effectively and maintain a high quality of life.

Breaking Out in Hives for No Apparent Reason

Sometimes the source of the raised, red, and itchy bumps on your skin can be a mystery.

One reason hives can be so surprising is that they can be caused by many things you might not expect including stress and exercise. Most of these unexpected causes for hives aren’t serious, but some are a sign it’s a good idea to make a medical appointment.

Read on for more information about reasons you may have hives.

Hives are an itchy reaction on your skin. They happen when a chemical called histamine is released in your body.

They can appear anywhere on your body and can be tiny pinprick-sized bumps or large raised areas that cover an entire limb. Hives often appear red or pink on white or light skin. People with darker skin might have hives that are slightly lighter or slightly darker than the skin surrounding them.

Share on PinterestHives on dark skin.
Created by Samuel Freire da Silva, M. D. in homage to The Master And Professor Delso Bringel Calheiros. Image obtained from Dermatology Atlas

No matter the color of your hives rash, all hives share these qualities:

• raised
• itchy
• tender
• round, oval, or uneven shaped
• clearly defined border

Hives are also called urticaria. Sometimes, the cause of hives is obvious. For instance, you might have an immediate reaction to something you’re allergic to such as pollen or pet dander. However, the cause isn’t always clear. Hives can be sudden and surprising and seem to not have a cause.

Hives are a very common skin reaction that can come from some unexpected sources. Some causes you might not have thought of include:

• Colds and other viral infections. Sometimes hives can be caused by your immune system fighting colds and other viral infections. These hives often appear near the end of your cold or virus as you’re starting to feel better. They’re most common in children but can happen to anyone.

• Bacterial infections. Bacterial infections such as strep throat or urinary tract infections can also sometimes trigger hives as your body reacts to the bacteria. These hives will fade as the antibiotics help your body fight the infection. They might peel before healing completely.

• Chronic conditions such as lupus. Hives that last for longer than 6 weeks might be a sign of an autoimmune condition such as lupus, type 1 diabetes, thyroid disease, or rheumatoid arthritis. These hives won’t go away on their own. It’s a good idea to make a medical appointment to get this type of hive checked out and see if a chronic condition is the cause.

• Stress. Stress can raise your internal body temperature and release adrenalin and other chemicals that might trigger hives. Stress hives tend to be located on the face, neck, chest, and arms. They’re common in people with eczema, allergies, or sensitive skin.

• Temperature changes. Suddenly encountering hot or cold, such as stepping into a steamy shower or entering a swimming pool, can cause histamine to release and hives to form. Hives that form in response to temperature are called cold urticaria. A red and itchy area of skin often forms around these hives.

• Tight clothing. Tight clothing can cause friction that leads to irritation and to hives. Clothes that sit close to your skin can also push any bacteria on your skin surface into your pores and hair follicles.

• Exercise. A chemical called acetylcholine is released in your body when you exercise can affect your skin cells and cause irritation and hives. Exercise hives are known as exercise-induced urticaria. Some people have additional symptoms along with hives such as shortness of breath, headache, flushing, and stomach cramps.

• Inflammation of blood vessels. An inflammation of your blood vessels known as vasculitis can cause painful hives. They can leave a bruise on your skin and last for several days. Vasculitis is a serious medical condition that requires treatment by a medical professional.

• Medications. Some medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, and opioids can cause an allergic reaction that leads to hives. Hives following medication might be the first sign of a medical emergency called anaphylaxis. Other symptoms of anaphylaxis include shortness of breath, wheezing, vomiting, and loss of consciousness.

Seeking emergency medical care

Hives can be a sign of anaphylaxis. This is always a medical emergency that needs immediate care. If you have been prescribed an EpiPen for an allergy, use it.

Call 911, especially if you’re having trouble breathing. If you don’t have an EpiPen, the ambulance will have epinephrine that paramedics can use to provide immediate treatment and will likely reach you much faster than having someone drive you to a hospital. Paramedics can get you to the hospital quickly and monitor your condition the entire time.

Never attempt to drive yourself to the hospital during anaphylaxis. Even if it is a very short drive, it’s not safe to attempt. You can lose consciousness rapidly.

If possible, after you call 911, keep someone with you until paramedics arrive.

Was this helpful?

Hives are often caused by identifiable allergies. Avoiding these allergens can help you avoid breaking out in hives. Common hive triggers include:

• shellfish
• eggs
• peanuts
• milk
• berries
• citrus
• animal dander
• poison ivy and other plants
• latex
• wool, polyester, and other fabrics
• pollen
• grass
• insect stings or bites
• dust mites
• mold
• detergents and dyes

Hives can be a sign of a serious allergic reaction that needs emergency medical emergency attention. It’s important to take action if you hives along with any of these symptoms:

• wheezing
• tightness in your chest or throat
• trouble breathing
• trouble talking
• swelling in your throat, face, or tongue
• nausea
• lightheadedness

If you are experiencing any of these symptoms, call 911.

A doctor may prescribe you an epinephrine injector, such as an EpiPen, for future allergic reactions. They’ll teach you how to use it and answer any questions you might have. You’ll keep your epinephrine injector on hand and use it if you develop hives in the future.

You’ll still need to visit the emergency room after you use your epinephrine injector, but it can stop anaphylaxis from becoming deadly.

A doctor can diagnose hives and help you find the cause. They might recommend you keep a food diary to find out if there is any link between food and your hives.

You might be sent to an allergist, a doctor who specializes in treating allergies, for additional testing. This might include blood work and urine tests to look for chemicals in your body that might tell the allergists what’s causing your hives.

You might also have a skin biopsy, especially if your allergist suspects vasculitis causing your hives. Hives that have lasted for longer than 6 weeks will likely necessitate testing for underlying chronic conditions.

Sometimes, a specific cause isn’t found. In this case, your hives will be diagnosed as idiopathic urticaria. The word “idiopathic” means unknown. In this case, your doctor will still be able to help you with a treatment plan, but you won’t be able to tell what to avoid to prevent hives in the future.

Treatment for hives will depend on the severity of your hives and on the cause. For instance, you’ll need to avoid the cause of your hives if it has been found.

Your doctor will work with you to find the right treatment for you. Common options include:

• Antihistamines. Both over-the-counter and prescription antihistamines block histamine and can treat hives. You might find that certain antihistamines are more effective for you than others. Sometimes a combination of antihistamines is recommended.
• Anti-itch lotions. Lotions to calm down itching and redness can provide relief from hives and prevent scratching.
• Antibiotics. Hives that are linked to bacterial infections can be treated with antibiotics
• Corticosteroids. Corticosteroids can be taken on a short-term basis to help with severe cases of hives.

Read more about hives treatment options.

Hives can sometimes be surprising and have no obvious cause. There are actually a wide variety of things that can cause hives, including stress, colds, exercise, and temperature changes. Chronic hives can point to an underlying condition such as lupus.

An allergist can help you determine the cause of your hives and start treatment.

Breaking Out in Hives for No Apparent Reason

Sometimes the source of the raised, red, and itchy bumps on your skin can be a mystery.

One reason hives can be so surprising is that they can be caused by many things you might not expect including stress and exercise. Most of these unexpected causes for hives aren’t serious, but some are a sign it’s a good idea to make a medical appointment.

Read on for more information about reasons you may have hives.

Hives are an itchy reaction on your skin. They happen when a chemical called histamine is released in your body.

They can appear anywhere on your body and can be tiny pinprick-sized bumps or large raised areas that cover an entire limb. Hives often appear red or pink on white or light skin. People with darker skin might have hives that are slightly lighter or slightly darker than the skin surrounding them.

Share on PinterestHives on dark skin.
Created by Samuel Freire da Silva, M.D. in homage to The Master And Professor Delso Bringel Calheiros. Image obtained from Dermatology Atlas

No matter the color of your hives rash, all hives share these qualities:

• raised
• itchy
• tender
• round, oval, or uneven shaped
• clearly defined border

Hives are also called urticaria. Sometimes, the cause of hives is obvious. For instance, you might have an immediate reaction to something you’re allergic to such as pollen or pet dander. However, the cause isn’t always clear. Hives can be sudden and surprising and seem to not have a cause.

Hives are a very common skin reaction that can come from some unexpected sources. Some causes you might not have thought of include:

• Colds and other viral infections. Sometimes hives can be caused by your immune system fighting colds and other viral infections. These hives often appear near the end of your cold or virus as you’re starting to feel better. They’re most common in children but can happen to anyone.

• Bacterial infections. Bacterial infections such as strep throat or urinary tract infections can also sometimes trigger hives as your body reacts to the bacteria. These hives will fade as the antibiotics help your body fight the infection. They might peel before healing completely.

• Chronic conditions such as lupus. Hives that last for longer than 6 weeks might be a sign of an autoimmune condition such as lupus, type 1 diabetes, thyroid disease, or rheumatoid arthritis. These hives won’t go away on their own. It’s a good idea to make a medical appointment to get this type of hive checked out and see if a chronic condition is the cause.

• Stress. Stress can raise your internal body temperature and release adrenalin and other chemicals that might trigger hives. Stress hives tend to be located on the face, neck, chest, and arms. They’re common in people with eczema, allergies, or sensitive skin.

• Temperature changes. Suddenly encountering hot or cold, such as stepping into a steamy shower or entering a swimming pool, can cause histamine to release and hives to form. Hives that form in response to temperature are called cold urticaria. A red and itchy area of skin often forms around these hives.

• Tight clothing. Tight clothing can cause friction that leads to irritation and to hives. Clothes that sit close to your skin can also push any bacteria on your skin surface into your pores and hair follicles.

• Exercise. A chemical called acetylcholine is released in your body when you exercise can affect your skin cells and cause irritation and hives. Exercise hives are known as exercise-induced urticaria. Some people have additional symptoms along with hives such as shortness of breath, headache, flushing, and stomach cramps.

• Inflammation of blood vessels. An inflammation of your blood vessels known as vasculitis can cause painful hives. They can leave a bruise on your skin and last for several days. Vasculitis is a serious medical condition that requires treatment by a medical professional.

• Medications. Some medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, and opioids can cause an allergic reaction that leads to hives. Hives following medication might be the first sign of a medical emergency called anaphylaxis. Other symptoms of anaphylaxis include shortness of breath, wheezing, vomiting, and loss of consciousness.

Seeking emergency medical care

Hives can be a sign of anaphylaxis. This is always a medical emergency that needs immediate care. If you have been prescribed an EpiPen for an allergy, use it.

Call 911, especially if you’re having trouble breathing. If you don’t have an EpiPen, the ambulance will have epinephrine that paramedics can use to provide immediate treatment and will likely reach you much faster than having someone drive you to a hospital. Paramedics can get you to the hospital quickly and monitor your condition the entire time.

Never attempt to drive yourself to the hospital during anaphylaxis. Even if it is a very short drive, it’s not safe to attempt. You can lose consciousness rapidly.

If possible, after you call 911, keep someone with you until paramedics arrive.

Was this helpful?

Hives are often caused by identifiable allergies. Avoiding these allergens can help you avoid breaking out in hives. Common hive triggers include:

• shellfish
• eggs
• peanuts
• milk
• berries
• citrus
• animal dander
• poison ivy and other plants
• latex
• wool, polyester, and other fabrics
• pollen
• grass
• insect stings or bites
• dust mites
• mold
• detergents and dyes

Hives can be a sign of a serious allergic reaction that needs emergency medical emergency attention. It’s important to take action if you hives along with any of these symptoms:

• wheezing
• tightness in your chest or throat
• trouble breathing
• trouble talking
• swelling in your throat, face, or tongue
• nausea
• lightheadedness

If you are experiencing any of these symptoms, call 911.

A doctor may prescribe you an epinephrine injector, such as an EpiPen, for future allergic reactions. They’ll teach you how to use it and answer any questions you might have. You’ll keep your epinephrine injector on hand and use it if you develop hives in the future.

You’ll still need to visit the emergency room after you use your epinephrine injector, but it can stop anaphylaxis from becoming deadly.

A doctor can diagnose hives and help you find the cause. They might recommend you keep a food diary to find out if there is any link between food and your hives.

You might be sent to an allergist, a doctor who specializes in treating allergies, for additional testing. This might include blood work and urine tests to look for chemicals in your body that might tell the allergists what’s causing your hives.

You might also have a skin biopsy, especially if your allergist suspects vasculitis causing your hives. Hives that have lasted for longer than 6 weeks will likely necessitate testing for underlying chronic conditions.

Sometimes, a specific cause isn’t found. In this case, your hives will be diagnosed as idiopathic urticaria. The word “idiopathic” means unknown. In this case, your doctor will still be able to help you with a treatment plan, but you won’t be able to tell what to avoid to prevent hives in the future.

Treatment for hives will depend on the severity of your hives and on the cause. For instance, you’ll need to avoid the cause of your hives if it has been found.

Your doctor will work with you to find the right treatment for you. Common options include:

• Antihistamines. Both over-the-counter and prescription antihistamines block histamine and can treat hives. You might find that certain antihistamines are more effective for you than others. Sometimes a combination of antihistamines is recommended.
• Anti-itch lotions. Lotions to calm down itching and redness can provide relief from hives and prevent scratching.
• Antibiotics. Hives that are linked to bacterial infections can be treated with antibiotics
• Corticosteroids. Corticosteroids can be taken on a short-term basis to help with severe cases of hives.

Read more about hives treatment options.

Hives can sometimes be surprising and have no obvious cause. There are actually a wide variety of things that can cause hives, including stress, colds, exercise, and temperature changes. Chronic hives can point to an underlying condition such as lupus.

An allergist can help you determine the cause of your hives and start treatment.

symptoms, causes, types, treatment and complications – consultation of experienced dermatologists and allergists of the MEDSI clinic

Urticaria is an allergic disease (dermatosis), which is manifested by the formation of blisters on the skin and mucous membranes. Its symptoms, according to statistics, are experienced by about 25% of the world’s population. At the same time, only 2–7% are children, the rest are adults. The onset of the disease often occurs before the age of 40. Under the condition of constant contact with the allergen, the disease becomes chronic. Pathology is dangerous because it can cause Quincke’s edema.

Classification of diseases

Urticaria can be acute and chronic.

In the first case, it is manifested by the rapid (within one hour) appearance of numerous bright pink blisters. After some time, they either disappear completely, or a second wave sets in with the formation of new ones. Chronic urticaria is characterized by a long course. Moreover, it can occur not only in contact with an allergen, but also in diseases of the liver and digestive organs.

Also, depending on the location of the rash, the following forms of urticaria are distinguished:

• Localized. In this case, the rash forms only on certain parts of the body
• Generalized. Rash spread all over body

Depending on the causes, the following types of pathology are distinguished:

• Allergic urticaria
• Endocrine
• Solar
• Cold
• Medicinal
• Infectious
• Reactogenic etc.

Urticaria in children

This pathology is also called strofulus. It usually occurs in children who are breastfed or on an age-inappropriate diet. Insect bites, contact with allergens, infectious infections, and the appearance of parasites in the body can provoke the disease. Blisters in children quickly transform into pink-brown nodules with a small bubble. The affected skin itches and itchs. Often, bloody crusts form on it. Skin folds and limbs are often affected. Gradually, the rash can spread throughout the body. Babies under 3 years of age additionally develop symptoms such as diarrhea or constipation and vomiting. If the pathology becomes chronic, the child may become drowsy and lethargic, suffer from sleep disturbances and loss of appetite. Interestingly, after 7 years, almost all children have it without a trace.

Other types of diseases

Symptoms of urticaria in some women appear before menstruation, the cause of the pathology in this case is hormonal changes. Usually, formations are noticeable on the chest and in the face area. They do not cause pronounced discomfort, they can only cause slight swelling and slight itching.

There is also a toxic form of the disease. It occurs upon contact with certain insects, animals, fish, marine life (for example, jellyfish) and plants (including poisonous ones).

Chronic sluggish urticaria can develop in the presence of a pet.

Causes of disease

Urticaria in adults and children occurs against the background of:

• Insect bites
• Use of certain drugs
• Eating new food
• Vaccinations
• Blood transfusions
• Direct contact with allergen

A rash occurs as a result of a reaction to high temperatures or cold, vibration, exposure to ultraviolet radiation, mechanical friction, etc. Infectious agents (fungi, bacteria, etc.) also lead to the development of pathology. In about 30% of patients, it is not possible to find out the causes of urticaria.

Symptoms

The main signs of a pathological condition include:

• Rash on body
• Itching
• Transformation of rash into blisters

Usually the rash is concentrated on the limbs, face and scalp. In some cases, it also appears on the mucous membranes. In addition, the symptoms of urticaria include headache and drowsiness, a feeling of weakness and nausea. In some cases, patients complain of an increase in body temperature.

Important! With a favorable course, the symptoms disappear very quickly.

If the disease has acquired a chronic form, then it is characterized by less pronounced symptoms, but a long course.

Diagnostics

Before determining how to treat hives, a doctor needs to identify its symptoms and causes. Usually, the diagnosis is made on the basis of a survey of patients and a study of clinical manifestations. If necessary, identify the allergen. For this, special tests are carried out.

Methods of treatment of urticaria in children and adults

The most effective method of therapy is to eliminate contact with the allergen. If it cannot be detected, the patient is prescribed antihistamines that prevent the risks of developing the disease.

Treatment of acute urticaria

To quickly eliminate symptoms, not only antihistamines are recommended, but also avoiding contact with household chemicals, cosmetics, perfumes and other potentially hazardous substances. Patients are also prescribed a special diet. Thanks to it, it is possible to eliminate the risks of occurrence of factors that provoke unpleasant symptoms of the disease.

The diet is selected individually, while there are general principles.

These include an exception to the diet:

• Products that can provoke an allergic reaction
• Lots of protein food
• Products that are unknown to the patient and have not been previously tried by him
• Sauces and condiments
• Complex dishes with many components (especially unknown ones)
• Alcohol
• Spicy dishes
• Pickles and marinades

It is also important for the patient to limit the consumption of table salt and sugar, to use only fresh proven products for cooking.

Even with restrictions, you need to try to make the diet as diverse as possible. It is desirable to include in it: yellow or green (not red) apples, lean meat, mild cheese, grain bread, cabbage, herbs, white currants, peas, beans.

Important! It should be understood that an allergy can occur to almost any product. Therefore, they should be introduced into the diet in small portions and a special food diary should be kept, describing in it the reactions to the use of products. This will allow you to plan a complete, but safe meal.

Treatment of chronic urticaria

Therapy requires special attention from the doctor. He needs to carefully select the initial set of drugs. It is determined by the severity of the pathology and the symptoms of the disease. If a negative reaction occurs to any of the means, the reception is immediately stopped. It is also important to cleanse the intestines and remove potentially dangerous substances from the body.

Important! The patient needs to be prepared for the fact that the treatment of urticaria is often delayed for months. In this case, there is always a chance that all symptoms will suddenly disappear.

Treatment of urticaria in children

The therapy is carried out in the same way as in adults. Special preparations are prescribed to reduce the body’s sensitivity to the allergen, remove the skin reaction and ensure the prevention of exacerbations.

Important! If necessary, gastroenterologists, gynecologists and other narrow specialists are involved in the treatment of urticaria in adults and children. This is due to the fact that in some cases the pathology develops against the background of diseases of internal organs and systems and requires an integrated multidisciplinary approach.

Prevention

Patients prone to urticaria need to reduce contact with potential allergens. It is also important to adhere to the following recommendations:

1. Use antihistamines before vaccination and local anesthesia
2. Keep a food diary
3. Wear loose-fitting clothing to ensure adequate ventilation and avoid the risk of skin irritation
4. Avoid emotional stress
5. Treat all chronic diseases in a timely manner

Important! The doctor will tell you about all preventive measures. If there is a predisposition to the disease, it is very important to visit a dermatologist and an allergist immunologist to receive all the recommendations and identify the causes of the pathology.

Benefits of contacting MEDSI

• Modern expert class equipment. It provides fast and accurate diagnosis. The patient can undergo a comprehensive examination with the identification of allergens and the determination of the general condition of the body
• Multidisciplinary approach. It allows you to identify all possible causes of the pathology and select adequate treatment for various symptoms of urticaria
• Therapy according to the latest recommendations (including international ones). It is carried out taking into account the individual characteristics of the patient’s body, his current condition, the type of pathology and the factors that provoke it

To clarify the conditions for the treatment of urticaria or make an appointment, just call +7 (495) 7-800-500. Our specialist will answer all questions. Recording is also possible through the SmartMed application.

Do not delay treatment, see a doctor now:

• Urticaria treatment
• Dermatologist’s appointment

Allergic rash – urticaria | Symptoms

Medications, contrast agents (used in imaging studies such as computed tomography)
Signs: Allergic rash that begins within 48 hours after using the drug.

Emotional and physical stimuli (stress and anxiety, cold, exercise, skin pressure, warmth, sunlight, sweating)
Signs: Allergic rash, which usually begins within seconds or minutes after contact with an irritant; an allergic rash that starts within 4 to 6 hours and affects only the area of ​​skin where pressure has been applied, or an allergic rash that only affects the area of ​​skin exposed to sunlight.

Food (food allergens)
Signs: Allergic rash that starts within minutes or hours of consumption.

Infections (bacterial, parasitic, viral)
Signs: Fever, chills, and fatigue. Specific infection symptoms, particularly for parasitic infections, recent travel to a developing country.

Insect bites or burns
Signs: Allergic rash that starts within seconds or minutes of an insect bite or burn.

Serum sickness
Signs: Allergic rash that begins within 7 to 10 days after an injection of a blood product (as in a transfusion), a drug derived from the blood of animals (used to treat venomous snake and spider bites). May be accompanied by fever, joint pain, swollen lymph nodes, and abdominal pain.

Contact allergens (latex, animal saliva or dander, dust, pollen or mold)
Signs: An allergic rash that begins within minutes or hours of contact.

Transfusion reactions
Signs: Allergic rash that usually starts within minutes of a blood product transfusion.

Systemic lupus erythematosus
Signs: Various symptoms depending on the autoimmune disease. With systemic lupus erythematosus, symptoms may include fever, fatigue, headache, joint pain and swelling, pain when breathing, and mouth ulcers.

Sjogren’s syndrome
Signs: Dry eyes and dry mouth.

Urticarial vasculitis
Signs: An allergic rash that may be painful but not itchy. Usually lasts more than 24 hours. Does not whiten (brighten) when pressure is applied. May be accompanied by the formation of small blisters and red-violet spots (purpura).

Cancer (digestive or lung or lymphoma)
Signs: Weight loss, night sweats, abdominal pain, cough (sometimes with blood), jaundice, swollen lymph nodes, or a combination of these symptoms.

Chronic idiopathic allergic rash
Signs: Allergic rash that occurs almost daily and itching that lasts for 6 weeks with no apparent cause.