Urticaria

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Written by Xie Ming Feng
Dermatology
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urticaria symptoms

Acute urticaria manifests as sudden severe itching of the skin, quickly followed by hives of various sizes. In severe cases, symptoms can include palpitations, restlessness, nausea, vomiting, and other signs of anaphylactic shock. Chronic urticaria is characterized by recurrent outbreaks of hives, often lasting for several months or years.

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Written by Zhu Zhu
Dermatology
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Difference between Flat Warts and Hives

Flat warts and hives are two different diseases with significant differences. First, the causes of these diseases are different. Flat warts are caused by human papillomavirus infection, while hives are related to allergies, usually caused by exposure to an allergen, and the specific cause needs to be determined through testing, with many cases having an unknown cause. Secondly, their treatment methods are also different; flat warts are often treated with lasers, cryotherapy, antivirals, etc., while hives are commonly treated with anti-allergy methods.

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Written by Zhu Zhu
Dermatology
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Measles and Urticaria Distinction

Measles and hives have significant differences. Firstly, hives are an allergic disease and are not contagious, whereas measles is a viral infectious disease that can be spread through contact. Secondly, the treatment for hives mainly involves antiallergics, while the treatment for measles mainly includes symptomatic and antiviral therapies. However, regardless of whether it is measles or hives, it is necessary to seek medical attention promptly after onset.

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Written by Zhang Jing
Dermatology Department
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Is there a difference between measles and urticaria?

Measles and hives are two completely different skin diseases. In terms of etiology, measles is caused by a viral infection, while hives are an allergic skin disease. Clinically, measles presents with diffuse red rash all over the body, accompanied by high fever and mucous membrane catarrhal symptoms, such as red eyes, excessive eye discharge, and so on. On the other hand, hives present with wheal-like skin lesions. Wheals refer to pale red or skin-colored raised lesions that can vary in shape and are usually quite large. They typically develop very rapidly and then subside within a few hours, with most wheals disappearing within 24 hours. Hives are also usually accompanied by severe itching.

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Written by Qu Jing
Dermatology
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How to Distinguish Between Papular Urticaria and Urticaria

Papular urticaria, also known as insect bite dermatitis, is a different disease from urticaria. Urticaria, also known as wheals, is called yinzhen in traditional Chinese medicine, and it is a localized edema of the skin and mucous membranes due to temporary increased vascular permeability. For most patients with urticaria, the exact cause cannot be identified. Common causes include foods, such as animal proteins and certain food additives that induce urticaria. Urticaria can also be triggered by certain infections as allergens, as well as by certain medications such as penicillin, serum products, various vaccines, sulfonamides, etc. Additionally, common inhalants such as pollen, animal dander, dust, fungal spores, dust mites, and volatile chemicals can also trigger urticaria. Papular urticaria is characterized by a small blister in the center of a reddish area, often resulting from bites or stings of various insects like mosquitoes, mites, bees, etc., or from irritation by toxic sap on the skin. Improvement can be seen once removed from the allergenic environment.

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Written by Liu Gang
Dermatology
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The difference between papular urticaria and urticaria

Papular urticaria is an allergic reaction caused by direct contact with irritants or insect bites such as mosquitoes. The cause of the disease is relatively accurate, and treatment typically involves disinfecting clothes, bed sheets, and duvet covers by exposing them to sunlight, avoiding contact with small animals, and common antiallergic medications can cure it quickly. The causes of common urticaria are more complex and often unclear; identifying the allergens usually requires allergy tests in hospitals, and the treatment is more complicated than that for papular urticaria. Common antiallergic drugs can cure it in the short term. However, some cases of urticaria that enter a chronic phase can be very troublesome to treat, with lengthy treatment times and poor outcomes.

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Written by Du Rui Xia
Obstetrics
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Is postpartum urticaria contagious?

Postpartum urticaria is not contagious. The occurrence of urticaria is mainly an allergic reaction to various factors such as certain foods, medications, plants, or infections. Clinically, it mainly manifests as dilation and increased permeability of small blood vessels in the skin and mucosa, resulting in skin rashes and redness. However, this condition is related to a decrease in the body's immune strength, making postpartum urticaria more likely to occur after childbirth. Postpartum urticaria has a certain hereditary nature. When postpartum urticaria occurs, one should not scratch it to prevent breaking the skin and causing secondary infections. Avoid using irritating liquids for cleansing or hot water for washing. When itching occurs, topical antipruritic agents can be applied. It is advisable to eat fresh vegetables and fruits in daily life and avoid spicy and irritating foods.

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Written by Xie Ming Feng
Dermatology
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What should not be eaten with hives?

Patients with urticaria have individual differences in their physical constitutions, and not everyone is allergic to the same foods. However, some foods have a higher likelihood of causing allergies, such as seafood, shrimp, crabs, silkworm pupae, beef, lamb, dog meat, various exotic birds and game, fruits like mango, pineapple, durian, and lemon, as well as various food additives. Additionally, spicy and stimulating foods and alcoholic beverages can aggravate allergic reactions and should be avoided as much as possible. Patients who frequently suffer from urticaria may consider undergoing allergen testing to identify which foods trigger allergic reactions. However, the allergen doses used in tests are very small and many factors can affect the results, hence the test outcomes may not fully reflect the actual situation within the patient's body. Moreover, the variety of foods tested is limited, and foods not tested could still potentially trigger urticaria in patients.

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Written by Xie Ming Feng
Dermatology
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How should hives be treated?

Urticaria is divided into acute and chronic types. Antihistamines are the first choice of treatment for acute urticaria. If the condition is severe and antihistamines are ineffective, corticosteroids can be used to control the condition. The fundamental treatment for chronic urticaria is to remove the cause, and specific medications should be used under the guidance of a doctor.

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Written by Liu Gang
Dermatology
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Characteristics of papular urticaria

Papular urticaria is a type of allergic reaction, generally associated with contact with irritants, or bites from mosquitoes and fleas. The likelihood of occurrence increases if small animals are kept at home. Typically, small red papules or red wheals appear on localized areas of the body or extensively, with a transparent blister on top. The itching is quite severe, and the blisters are prone to bursting when scratched. Once symptoms appear, it is crucial to treat them with proper medication, and care should be taken to prevent infection if the blisters are scratched open. To prevent recurrence, it is advisable not to keep small animals at home, to frequently disinfect clothes, sheets, and duvet covers by exposing them to sunlight to eliminate mites or fleas, and to maintain a standard diet and lifestyle habits.