urticaria symptoms

Written by Xie Ming Feng
Dermatology
Updated on September 22, 2024
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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 Huang Ling Juan
Dermatology
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How is urticaria caused?

There are many causes of hives, and the most common is related to genetics. If one of the parents has an allergic constitution, then the likelihood of allergies in their offspring significantly increases. Environmental factors also play a role in the occurrence of hives. For example, environments with a lot of dust or dust mites can trigger allergic reactions. Additionally, a humid living environment can promote the growth of fungi, which can also cause hives. The occurrence of hives is also related to food. Individuals who are allergic to proteins might experience hives when consuming high-protein foods like fish, shrimp, crabs, milk, and eggs. Furthermore, viral infections, bacterial infections, and parasite infections can also trigger hives.

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Written by Zeng Hai Jiang
Pediatrics
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Do children with urticaria feel itchy?

Children's urticaria generally causes itching. It occurs when children come into contact with foods, medications, or other allergenic substances, leading to scattered or widespread red rashes. The rash may appear as wheals or might be maculopapular or urticarial in nature, generally accompanied by rashes and itching. If a child develops urticaria, topical medications can be applied, providing relief from itching and allergic reactions.

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Written by Li Ya Ping
Dermatology Department
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Can urticaria be contagious?

Urticaria is not contagious. Urticaria, also known as wheals or commonly referred to as hives, is caused by temporary increased vascular permeability in the skin and mucous membranes due to allergic factors, resulting in localized edema. Wheals generally subside quite quickly, typically within 24 hours. The causes of wheals, which are essentially urticaria, may include the food we eat, airborne inhalants, and skin contact with substances such as pollen, dust mites, mold mites, as well as animal dander, fur, etc. Additionally, some cases may be related to infections, and some people may have a lethal factor due to suspicious medications. Moreover, the occurrence of urticaria can also be related to other factors such as cold, heat, ultraviolet light, and mechanical stresses such as friction or pressure. Furthermore, other factors including psychological and endocrine factors can also lead to the occurrence of urticaria.

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Written by Huang Ling Juan
Dermatology
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How to treat chronic urticaria?

Chronic urticaria often utilizes antihistamine medications to control symptoms, combined with Traditional Chinese Medicine (TCM) and differential diagnosis and treatment. Treating chronic urticaria generally requires long-term use of antihistamines, sometimes for two or three months, or even up to six months, a year, or more. Typically, treatment involves the combination of two or more types of antihistamines. For cases of chronic urticaria where antihistamines are ineffective, immunosuppressants may be used to adjust the body’s immune state, thus controlling the outbreaks of chronic urticaria. Chronic urticaria is a long-term, slow process that cannot be resolved quickly, so it is important to try to identify the triggering factors of chronic urticaria, or to identify specific allergens. However, finding the allergen is usually challenging because many patients with chronic urticaria have conditions that are also related to their own immune status.

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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.