Urticaria, commonly known as hives, is a skin condition characterized by itchy, raised, red or skin-colored wheals that can appear anywhere on the body. These lesions may vary in size and often move from one area to another within hours. Urticaria can be acute or chronic depending on the duration of symptoms.
Acute urticaria commonly occurs due to allergic reactions to foods, medications, infections, insect bites, or environmental triggers. Chronic urticaria lasts for more than six weeks and is often linked to autoimmune mechanisms, stress, thyroid disease, or unknown causes.
Symptoms of urticaria include sudden itching, swelling, burning sensation, and transient wheals. Some individuals may also develop angioedema, which causes deeper swelling of the lips, eyelids, hands, or throat. Severe swelling involving the airway requires immediate medical attention.
Diagnosis involves identifying potential triggers through detailed history and examination. Routine allergy tests are not always necessary unless a specific trigger is suspected. Treatment mainly focuses on symptom control and trigger avoidance. Non-sedating antihistamines are the first-line treatment for urticaria. In resistant cases, higher doses, short courses of steroids, or advanced biologic therapies may be required.
Stress management, avoiding known triggers, and following a dermatologist’s guidance can significantly improve quality of life. Chronic urticaria can be frustrating due to recurrent flare-ups, but effective treatment options are available today.
If you are suffering from recurrent hives, itching, or swelling, consult DermcareMD Skin and Hair Clinic by Dr Neha Athalye for expert diagnosis and comprehensive urticaria management.
