Can acute urticaria turn into chronic urticaria?

Written by Liu Gang
Dermatology
Updated on September 08, 2024
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Acute urticaria generally heals quickly if treated properly after onset. If the treatment is delayed or improper, and the disease is not completely cured within a month and a half, it automatically enters a chronic phase. Treatment in the chronic phase is more troublesome, requiring long-term medication. Therefore, once this condition is detected, it is crucial to seek formal treatment, avoid spicy and irritating foods, enhance exercise, strengthen immunity, and avoid buying and using medications arbitrarily, as this could complicate treatment if it becomes chronic. For severe cases of acute urticaria, if feasible, patients can also go to the dermatology department of a regular hospital for infusion therapy, which can speed up recovery. (Please use medication under the guidance of a doctor.)

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Written by Huang Ling Juan
Dermatology
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Methods for Curing Chronic Urticaria

Chronic urticaria is relatively difficult to cure completely. Clinically, antihistamine drugs are usually chosen for treatment. Options include fexofenadine hydrochloride tablets, olopatadine hydrochloride tablets, or levocetirizine dihydrochloride tablets. If conventional medications do not effectively control chronic urticaria, low-dose hormone therapy or immunosuppressants may also be considered. Additionally, since chronic urticaria is somewhat related to a decrease in body immunity, it is necessary to use drugs that enhance the immune system alongside treatment. Traditional Chinese medicine (TCM) and therapies tailored to individual conditions can also be used. Furthermore, acupuncture, cupping, and acupoint injection are treatment methods that can be effective for managing chronic urticaria.

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Written by Huang Ling Juan
Dermatology
1min 22sec home-news-image

Chronic urticaria has persisted for two years and has not improved for a long time. What should I do?

Chronic urticaria, which has persisted for two years, requires a treatment approach combining Chinese and Western medicines. It is necessary to use some anti-allergic medications which can be selected under a doctor's guidance, such as Ketotifen Fumarate Tablets, Desloratadine Dispersible Tablets, Olopatadine Hydrochloride Tablets, and Chlorcyclizine Hydrochloride Tablets. Additionally, combining Chinese traditional medicine or patented Chinese medicine such as Cicada Itch-Relief Capsules and Moisture-Nourishing Itch-Relief Capsules can be beneficial. Urticaria is a type of chronic skin, an allergic skin disease, characterized by complex causes and stubborn conditions, often resulting in poor treatment outcomes and frequent relapses. Chronic urticaria mainly presents with erythema and wheals, accompanied by itching. It is important to avoid contact with allergens when experiencing chronic urticaria. Dietary restrictions, especially avoiding high-protein foods and pungent items, are also crucial. (Medications should be used under the guidance of a doctor.)

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Written by Liu Gang
Dermatology
54sec home-news-image

Can acute urticaria turn into chronic urticaria?

Acute urticaria generally heals quickly if treated properly after onset. If the treatment is delayed or improper, and the disease is not completely cured within a month and a half, it automatically enters a chronic phase. Treatment in the chronic phase is more troublesome, requiring long-term medication. Therefore, once this condition is detected, it is crucial to seek formal treatment, avoid spicy and irritating foods, enhance exercise, strengthen immunity, and avoid buying and using medications arbitrarily, as this could complicate treatment if it becomes chronic. For severe cases of acute urticaria, if feasible, patients can also go to the dermatology department of a regular hospital for infusion therapy, which can speed up recovery. (Please use medication under the guidance of a doctor.)

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Written by Xie Ming Feng
Dermatology
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Difference between acute and chronic urticaria

Acute and chronic urticaria can be distinguished by their symptoms. Acute urticaria has a sudden onset with the rapid appearance of wheals, often accompanied by severe itching, and generally subsides within several days to weeks. If outbreaks occur more than twice a week and persist for more than six weeks, it then progresses to chronic urticaria, which is protracted but with milder symptoms, triggering acute episodes under allergenic factors.

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Written by Qu Jing
Dermatology
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What are the symptoms of an acute outbreak of chronic urticaria?

Chronic urticaria is characterized by skin lesions that repeatedly flare up for more than six weeks, with occurrences at least twice per week, and is known as chronic urticaria. Patients with chronic urticaria generally exhibit mild systemic symptoms. The welts vary in number, frequently reoccur, and can last for months to years. In cases of chronic urticaria, when patients consume certain foods or come into contact with specific allergens, they may suddenly experience symptoms similar to those of acute urticaria; this is referred to as an acute outbreak of chronic urticaria. Patients often experience sudden skin itching, and quickly develop welts of varying sizes that are red, round, oval, or irregular in shape. These welts may be distributed individually or merge into patches. Sometimes the welts turn pale, other times they become erythematous, and gradually disappear. In severe cases, patients may experience palpitations, chest tightness, decreased blood pressure, anaphylactic shock, or gastrointestinal mucosal symptoms such as nausea, vomiting, abdominal pain, and diarrhea. If the larynx swells, it can lead to difficulty breathing or even asphyxiation.