Methods for Curing Chronic Urticaria

Written by Qu Jing

Dermatology

1min 27sec

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.

Written by Qu Jing

Dermatology

2min 44sec

Treatment methods for chronic urticaria

Urticaria with a duration of more than six weeks without healing, occurring more than twice a week, is called chronic urticaria. Chronic urticaria, due to repeated occurrences and severity, affects the quality of life and therefore requires active treatment. Urticaria, commonly known as hives, and in traditional Chinese medicine called "addiction rash," is caused by the dilation and increased permeability of small blood vessels in the skin and mucous membranes, resulting in a localized edematous response characterized by erythematous wheals and itching. The onset of urticaria is rapid, and it fades quickly without leaving a trace, coming and going like a shadow. Urticaria is caused by factors that lead to vascular dilation, increased vascular permeability, smooth muscle contraction, increased gland secretion, and localized or systemic allergic symptoms in the skin, mucous membranes, respiratory tract, and digestive tract. Therefore, the treatment principles for chronic urticaria are: first, to actively seek out and eliminate the cause. Some cases of urticaria are caused by certain foods, such as beef, lamb, seafood, tropical fruits, etc. Others are drug-induced. Some may relate to airborne dust mites, pollen, etc. External factors like temperature and sunlight may also trigger outbreaks. By analyzing the timing and locations of urticaria occurrences or worsenings, one can investigate potential causes. Second, if the cause is unknown and no triggering factors have been identified, symptomatic treatment should be started, primarily using oral antihistamines and topical calamine lotion to relieve itching. Third, in cases of acute onset with symptoms like difficulty breathing, chest tightness, and shortness of breath, it is advisable to immediately seek medical attention at a hospital. Fourth, recurrent urticaria, aside from external triggers, is related to the body's own immune strength. At this point, it is recommended to seek treatment at an established traditional Chinese medicine hospital for herbal regulation, and to gradually reduce antihistamine medication, which can be an effective approach.

Written by Huang Ling Juan

Dermatology

1min 2sec

How can chronic urticaria be treated to be completely cured?

Chronic urticaria is relatively difficult to cure completely. It can be managed effectively through standardized medication and lifestyle adjustments to reduce the frequency of outbreaks. Chronic urticaria is usually related to a decrease in the body's immunity; certain allergens can also trigger it. Therefore, treatment of chronic urticaria should include medications that enhance immune function combined with antihistamines. Commonly used thymopeptides can strengthen immunity, and antihistamines such as chlorcyclizine hydrochloride tablets, olopatadine hydrochloride tablets, or loratadine tablets may be chosen. It is also important to avoid inhaling, touching, or ingesting substances that trigger urticaria. Additionally, avoiding staying up late, maintaining a regular schedule, avoiding spicy and irritating foods, and engaging in appropriate exercise to enhance the body's immunity are recommended.

Written by Huang Ling Juan

Dermatology

57sec

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.

Written by Xie Ming Feng

Dermatology

28sec

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.

Methods for Curing Chronic Urticaria

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