“cholinergic urticaria cures +urticaria dermatitis”

Acute urticaria is the most common type. Symptoms last less than 6 weeks, and they typically affect the face and neck, fingers, toes, and the genitals of males. However, any part of the body can be affected.
The rash usually appears suddenly and can affect any area of skin. Small raised areas called weals (or wheals) develop on the skin. The weals look like mild blisters and they are itchy. Each weal is white or red and is usually surrounded by a small red area of skin, which is called a flare. The weal and flare rash of hives looks similar to the rash caused by a nettle sting.
There are two types of hives – short-lived (acute) and long-term (chronic). Neither is typically life-threatening, though any swelling in the throat or any other symptom that restricts breathing requires immediate emergency care.
It occurs mainly on the “bathing-costume area” – the thighs, buttocks and lower torso. However, the distribution depends largely on the insect responsible; in some cases the forearms, arms and face are affected. Fleas may cause papular urticaria where two to three lesions are seen in a row.
Hives (urticaria) are raised, red spots on the skin that often itch. Hives are usually indicative of an allergic reaction. Hives are a common reaction in people who have allergies. A number of substances can trigger an outbreak of hives, including foods, medications, pollen, animal dander, or insect bites.
Rashes caused by stress may vary in treatment and length. Stress rash caused by hives will likely disappear with time and mild-to-moderate treatments. You may need to see a doctor to treat stress-related skin conditions such as acne, dermatitis, or severe or long-lasting hives. If you have chronic conditions like psoriasis and rosacea, you should work with your doctor to develop an appropriate treatment plan to use in the long term.
Cold urticaria is usually but it may occur in patients with cold-dependent antibodies, such as cryoglobulins or cold agglutinins [15] and there is a very rare familial form of cold-induced urticaria which is dominantly inherited [16]. Patients develop itching, erythema and urticaria affecting that part of the body which has been exposed to cold. Symptoms may worsen as the exposed area is warmed. Total immersion in cold water can cause severe symptoms with hypotension and patients should be warned that swimming in cold water can be dangerous. Local heat-induced urticaria is rare [17]. Some unfortunate patients may develop urticaria on exposure to both heat and cold [18]. Generalized heat-induced urticaria or ‘cholinergic’ urticaria is caused by exercise, sweating and hot showers or baths. The term ‘cholinergic’ is used because sweat glands are innervated by cholinergic nerve fibres. The urticarial lesions are often small and intensely itchy. Very severe cholinergic urticaria may cause hypotension and therefore there may be some overlap with the clinical syndrome of exercise-induced anaphylaxis [19,20].
Angioedema, on the other hand, is usually not red or itchy, but tends to sting and burn, and can be described as “numbness.” This swelling can be severe, and if it affects a person’s ability to breathe, can be life-threatening.
Steven A Conrad, MD, PhD Chief, Department of Emergency Medicine; Chief, Multidisciplinary Critical Care Service, Professor, Department of Emergency and Internal Medicine, Louisiana State University Health Sciences Center
Some patients can have both urticaria and angioedema, occurring simultaneously or separately. Approximately 50% of patients have both urticaria and angioedema, whereas 40% have urticaria alone, and 10% have angioedema alone. [24] Hereditary angioedema (C1 inhibitor deficiency) accounts for only 0.4% of cases of angioedema but is associated with a high mortality rate.
Contrary to this opinion, William E. Berger, MD, MBA, professor of medicine at the University of California, tells WebMD that allergies create stress because you cannot focus on tasks and your coping skills decline.
Apply calamine lotion. Calamine lotion is a mixture of zinc oxide and zinc carbonate. It can be applied to hives to relieve the itching as often as needed. When the itching subsides or you want to reapply, rinse off the calamine lotion with cool water.[13]
Wong JT, Nagy CS, Krinzman SJ, Maclean JA, Bloch KJ. Rapid oral challenge-desensitization for patients with aspirin-related urticaria-angioedema. J Allergy Clin Immunol. 2000 May. 105(5):997-1001. [Medline].

“treatment for chronic idiopathic urticaria +hives with fever”

Unfortunately there are no known specific therapies for HUV. The regime of prescription steroids and other immunosuppressive drugs aims to dampen the body’s production of anti-C1q antibodies.[3] However, this again renders the individual immunocompromised.
1. Mint juice in small quantity of water without any additives to be taken twice a day. In winter, mint leaves can be boiled, water thereafter can be drunk. 2. 5 Gms of Soda Bicarbonate (cooking soda) dissolved in ordinary water at room temperature, can be applied to affected areas.
Chronic spontaneous urticaria (click for picture) is characterized by a non-necrotizing perivascular mononuclear-cell infiltrate (CD4 positive T lymphocytes and monocytes) with variable accumulation of eosinophils, neutrophils, and mast cells (click for picture). Patients with vasculitis and urticaria appear to be a separate sub-population in whom the cause and pathogenesis of hive formation probably involves immune complexes, complement activation, anaphylatoxin formation, histamine release, and neutrophil accumulation, activation, and degranulation.
The Hives’ official website was overhauled in the second week of August 2007, with a grungier, “emergency broadcast” layout. The new site revealed the album’s cover and the title of the first single, “Tick Tick Boom”, with a release date of August 14 in the United States and 8 October in the United Kingdom. The release dates for the new record, The Black and White Album, were 15 October in the UK on Polydor and November 13 in the US on A&M/Octone in 2007. It was mostly recorded in Oxford, Mississippi, Miami, and in their native Sweden.
Physical urticaria: Hives caused by direct physical stimulation of the skin — for example, cold, heat, sun exposure, vibration, pressure, sweating, and exercise. The hives usually occur right where the skin was stimulated and rarely appear elsewhere. Most of the hives appear within one hour after exposure.
An allergic skin condition featuring itchy, raised, pink areas surrounded by pale skin. These patches persist for periods of half an hour to several days and then resolve. Urticaria may result from sunlight, cold, food or drug allergy, insect bites, scabies, jelly fish stings or contact with plants. Treatment is with antihistamine drugs or corticosteroids. Also known popularly as nettle rash or hives.
In acute (short-lived) hives, the weals may come and go for a few days or weeks. Rarely, they persist for more than six weeks. Chronic hives is much less common. The weals come and go for months or even years. 
This very rare form of angioedema develops in response to contact with vibration. In vibratory angioedema, symptoms develop within two to five minutes after contact with a vibrating object, and abate after about an hour. Patients with this disorder do not suffer from dermographism or pressure urticaria. Vibratory angioedema is diagnosed by holding a vibrating device such as a laboratory vortex machine against the forearm for four minutes. Speedy swelling of the whole forearm extending into the upper arm is also noted later. The principal treatment is avoidance of vibratory stimulants. Antihistamines have also been proven helpful.[citation needed]
Where possible, identify and treat the cause. Nonspecific aggravating factors should be minimised, such as overheating, stress, alcohol, caffeine and medication likely to cause urticaria (eg, non-steroidal anti-inflammatory drugs (NSAIDs) and angiotensin-converting enzyme (ACE) inhibitors). Topical anti-pruritic agents such as calamine lotion or topical menthol 1% in aqueous cream may help ease symptoms.
If home and natural remedies aren’t enough to help your hives, over-the-counter (OTC) treatments may be your best bet. Not only can OTC options relieve itching and irritation, they can target your body’s histamine response, which is what causes hives to appear.
The Food Standards Code requires that certain foods must be listed on the package of a food, or made known to the customer upon request. If you experience an allergic reaction to a known allergen not…
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Patients with chronic idiopathic urticaria often do not respond to antihistamines or other drugs commonly used. Omalizumab, a monoclonal antibody that can suppress certain allergic reactions, may help relieve symptoms, but experience with this use is limited.
Skin biopsy may be performed to confirm urticarial vasculitis. Microscopic findings of early lesions include a neutrophil leukocytoclastic vasculitis, in which there is damage to small vessels in the middle layers of the skin (dermis). In later lesions, a lymphocytic vasculitis may be seen.
Self-diagnosis of skin disorders is never an easy task. It’s made more difficult when different conditions similar symptoms. Hives, for example, come in two types — acute and chronic — and are usually caused by your body releasing histamine in reaction to an allergy. Histamine is an organic compound in your body responsible for triggering the inflammatory process. With hives, the histamine causes fluid to release from the blood vessels and makes the skin swell [source: Rockoff].
So, we agreed that stress-induced urticaria is a logical thing; what is not logical is to treat stress with drugs. Drug companies don’t have any single interest in jeopardizing their business in order to tell you the truth. Nobody exactly knows how it happens, but instead, they give you medicine that they are completely aware won’t work for you.
72. Davis MD, Daoud MS, Kirby B, Gibson LE, Rogers RS., III Clinicopathologic correlation of hypocomplementemic and normocomplementemic urticarial vasculitis. J Am Acad Dermatol. 1998;38:899–905. [PubMed]
If hives are making it difficult to sleep, then it may be necessary to see a physician. This would be especially important if you are taking nonprescription antihistamines. If your hives last longer than two months, it is also likely you will benefit from visiting a physician.
Patients who have angioedema involving the oropharynx or any involvement of the airway should receive epinephrine 0.3 mL of 1:1000 solution sc and be admitted to the hospital. On discharge, patients should be supplied with and trained in the use of an auto-injectable epinephrine pen.
The real secret behind stress is the social programming we have gotten since Day 1 of our existence. It’s not your fault. We were raised to go to school and have a job, make a family and have kids and then raise them to do the same. If you fail in one of these steps, you get stressed. You become depressed and anxious whenever you deal with the need for social approval, when you’re about to face a challenge that might change you or change your social status.
It occurs mainly on the “bathing-costume area” – the thighs, buttocks and lower torso. However, the distribution depends largely on the insect responsible; in some cases the forearms, arms and face are affected. Fleas may cause papular urticaria where two to three lesions are seen in a row.
“My hope is that we will be able to move towards a more integrated approach to treating patients which incorporates attention to the multifactorial nature of so many dermatologic conditions, both in their etiology as well as the experience of living with these conditions, whether it is chronic urticaria, psoriasis, acne or delusions of parasitosis,” she says.
urticaria pigmento´sa the most common form of mastocytosis, occurring primarily in children, manifested as persistent pink to brown macules or soft plaques of various size; pruritus and urtication occur on stroking the lesions.
Complement-mediated urticarias include viral and bacterial infections, serum sickness, and transfusion reactions. Urticarial transfusion reactions occur when allergenic substances in the plasma of the donated blood product react with preexisting IgE antibodies in the recipient. Certain drugs (opioids, vecuronium, succinylcholine, vancomycin, and others) as well as radiocontrast agents cause urticaria due to mast cell degranulation through a non—IgE-mediated mechanism. Urticaria from nonsteroidal anti-inflammatory drugs may be IgE-mediated or due to mast cell degranulation, and there may be significant cross-reactivity among the nonsteroidal anti-inflammatory drugs (NSAIDs) in causing urticaria and anaphylaxis. [16]
Allergic reactions, particularly to foods and medications, are another common cause of acute hives. Allergies only cause about 5 percent to 10 percent of chronic hives cases. Pet allergies are usually to blame; pollen, mold, and dust mite allergies cause chronic hives only in rare instances.
Initially it is helpful to explain to patients what urticaria is and that very often it is not due to ‘an allergy’. They may be reassured that in nearly all cases there is no serious underlying medical problem causing the rash; that safe, effective treatments are available and that the long-term prognosis is usually good. A patient information leaflet, such as that available from the British Association of Dermatologists [48], is helpful.
Chronic hives don’t last forever. Most people have them for 1 to 5 years. For a small number of people, it can last longer. There’s no known cure, but medicines and lifestyle changes can help you feel better.
Dermatographism, the ability to write on the skin, can occur as an isolated disorder that often presents as traumatically induced urticaria. It can be diagnosed by observing the skin after stroking it with a tongue depressor or fingernail (click for picture). A white line secondary to reflex vasoconstriction is followed by pruritus, erythema, and a linear wheal, as is seen in a classic wheal-and-flare reaction. It is rarely severe enough to require treatment.
Usually no tests are needed. The rash is very typical and is easily recognised as hives by doctors. In many cases you will know what caused the rash from the events leading up to it. (For example if you have just been put on a new medicine, or if your skin came into contact with a nettle, or if you were stung by a bee.) In some cases it may be helpful to have some allergy tests such as skin prick tests to help determine the specific cause. Sometimes blood tests for allergies can be helpful. Occasionally, if urticarial vasculitis is suspected, a sample of the skin may be taken (a skin biopsy) for further analysis.
The cause of chronic hives can rarely be determined.[28] In some cases regular extensive allergy testing over a long period of time is requested in hopes of getting new insight.[29][30] No evidence shows regular allergy testing results in identification of a problem or relief for people with chronic hives.[29][30] Regular allergy testing for people with chronic hives is not recommended.[28]
Insect venoms, animal danders and/or saliva, penicillin, protease enzymes in biological detergents [6] and latex proteins are other common causes of IgE-mediated urticaria, which again are often identified by the patient. Patients who are latex-protein allergic may also react to a wide variety of foods [7] (Table 2) because of cross-reactivity between the latex protein antigens and food antigens or, if they are highly sensitized, they may develop symptoms after eating foodstuffs which have been handled by workers wearing latex gloves [8].

“urticaria autoimmune urticaria idiopathic”

The intense discomfort may tempt you to self-medicate but this is not advisable as certain medications may aggravate your condition. It would be wise to seek medical attention as soon as possible so that you recover quickly. However, if you experience fever and/or breathing problems, you may require immediate medical attention. Make a list of all your symptoms, no matter how trivial they may seem, so that your doctor is able to make an accurate diagnosis.
Nonsteroidal anti-inflammatory agents are most commonly used for relief of mild to moderate pain. The basis behind the use of indomethacin is empiric. It was used with some effectiveness on the cutaneous manifestations of the disease in several case reports.
Taking care of yourself means giving yourself the tools you need to better manage stress in your life. Take steps to make sure you are eating a healthy diet and getting enough sleep. When you eat unhealthy foods or go through your day on just a few hours of sleep, your ability to deal with stress decreases.
Apply calamine lotion. Calamine lotion is a mixture of zinc oxide and zinc carbonate. It can be applied to hives to relieve the itching as often as needed. When the itching subsides or you want to reapply, rinse off the calamine lotion with cool water.[13]
Cholinergic or generalized heat urticaria is characterized by the onset of small (1 mm) punctate wheals surrounded by a prominent erythematous flare associated with exercise, hot showers, sweating, and anxiety (click for picture). Typically, lesions first appear the neck and upper thorax; when viewed from a distance, hives may not be perceived and the patient appears flushed. Pruritus is a prominent feature of the reaction. Gradually the lesions spread distally to involve the face, back and extremities, and the wheals increase in size. In some patients the hives become confluent and resemble angioedema. Although uncommon, symptoms of more generalized cholinergic stimulation such as lacrimation, salivation, and diarrhea may occasionally be seen. These various stimuli have the common feature of being mediated by cholinergic nerve fibers. Cholinergic urticaria is the only form of hives in which emotional stimuli can, in some patients, initiate an urticarial reaction.  One study suggests that a subpopulation of patients has IgE antibody to an antigen in sweat.
Change in temperature. Cold urticaria is caused by exposure to low temperatures followed by re-warming. This can be severe and life-threatening if there is a general body cooling – for example, after a plunge into a swimming pool.
In acute forms of urticaria and angioedema, a history of the events surrounding the outbreak is the most important information that can be obtained. Here are three common questions your allergist may inquire about:
Urticaria also may be accompanied by angioedema, which results from mast cell and basophil activation in the deeper dermis and subcutaneous tissues and manifests as edema of the face and lips, extremities, or genitals. Angioedema can occur in the bowel and present as colicky abdominal pain. Angioedema can be life-threatening if airway obstruction occurs because of laryngeal edema or tongue swelling.
Angioedema – swelling of tissue beneath the surface of the skin – can be mistaken for or associated with hives. It can be caused by allergic reactions, medications or a hereditary deficiency of some enzymes. The following symptoms may indicate angioedema:
On 12 March 2012, the band announced their fifth full-length album, Lex Hives. The album was released on their own label, Disque Hives on 1 June in Sweden/GSA, 4 June in the UK, and June 5 in the USA and Canada, comprising twelve self-produced tracks, with a deluxe version containing bonus tracks produced by Queens of the Stone Age frontman Josh Homme.[16][17]
Hi I have found out I have this and been on many antihistamines to try and control it but I am now on fexafenidine and these don’t seem to work at all some days when I have a flare up I look like I…
Since hives can come and go so swiftly, a very significant percentage of cases are never accurately diagnosed. The hives can appear and disappear without any explanation of what caused them or cured them. Skin testing may be used in finding the source of infrequent hives; a detailed history is usually more rewarding. The patient can record everything that was ingested or touched for the 24 hours prior to the outbreak and bring this to the physician.
Chronic hives don’t put you at any sudden risk of a serious allergic reaction (anaphylaxis). If you do experience hives as part of a serious allergic reaction, seek emergency care. Signs and symptoms of anaphylaxis include dizziness, trouble breathing, and swelling of your lips, eyelids and tongue.
Urticaria may be confused with a variety of other dermatologic diseases that are similar in appearance and are pruritic including atopic dermatitis (eczema), maculopapular drug eruptions, contact dermatitis, insect bites, erythema multiforme, pityriasis rosea, urticarial vasculitis, and others. Usually, however, the experienced clinician is able to distinguish urticaria from its mimickers owing to its distinctive appearance (see the images below), intensely pruritic nature, and complete blanching with pressure. [1]
How do you get hives? Hives are not something you can “catch” from anyone. Rather, they are your body’s response to something it ingests or experiences. The cause of hives can be a certain food, drug, infection or stress. You might be surprised to learn that stress is one of the most common causes of acute hives, along with allergies and infectious causes. Hives can literally occur at any age and appear anywhere on the body. It is estimated that one in every five people will be affected by a hives outbreak at some point in his or her life. (2)
If your stress hives are accompanied by swelling of any part of the throat or face (see hives on face) that results in restricted breathing, seek treatment immediately from your nearest emergency room. Stress is bad enough, dying from not being able to get air into your lungs is a horrible way to go.
The Hives live show has been highly rated, Spin magazine rating them 8th best in rock music.[26] Pelle is known for his “colourful idiocy” on stage.[27] When asked about their efforts to connect with the audience, Chris Dangerous replied that “there are so many bands out there that don’t say a word to the crowd. I don’t get it. They don’t even look at the audience and that’s ridiculous”.[28] The Hives always dressed in black-and-white uniforms because “it makes [them] look like [they] belong together”.[29]
Allergy shots are given to increase your tolerance to allergens that cause allergy symptoms. At the beginning, allergy shots will be administered once or twice a week for several months. The dose is increased each time until a maintenance dose is reached. Side effects of allergy shots include itchy eyes, shortness of breath, runny nose, tight throat, redness, swelling, and irritation.

“urticaria from cold treatment for urticaria vasculitis”

Jump up ^ Hirschmann, J. V.; Lawlor, F; English, JS; Louback, JB; Winkelmann, RK; Greaves, MW (1987). “Cholinergic Urticaria – A Clinical and Histologic Study”. Archives of Dermatology. 123 (4): 462–7. doi:10.1001/archderm.1987.01660280064024. PMID 3827277.
“There is a growing appreciation of the link between the mind, the immune system, and the skin,” Dr. Howard says. “The skin and the nervous system are derived from the same embryologic layer, and we are only just beginning to appreciate the implications of this link.”
The clinical history should indicate if a vasculitic process is likely, with the lesions lasting for several days, instead of hours, and being painful or burning, instead of itchy. Patients should be asked about drug treatment and joint, gastrointestinal and pulmonary symptoms. Examination may show purpura or hyperpigmentation at the sites of earlier lesions and, possibly, signs of an associated underlying disease such as SLE. Investigations which may be relevant include skin biopsy to confirm the diagnosis; FBC and ESR; renal and liver function tests; urine analysis; complement C3 and C4 levels and anti-C1q antibodies; ANA and extractable nuclear antigens (ENA) (often positive for Ro/SS-A and La/SS-B if the patient has Sjögren’s syndrome); hepatitis, Borrelia or Epstein–Barr virus serology; immunoglobulins and protein electrophoresis and cryoglobulins and chest X-ray (CXR) and pulmonary function tests if symptoms suggest lung involvement. [Anti-neutrophil cytoplasmic antibodies (ANCA) are rarely found in urticarial vasculitis and if ANCA testing is positive an alternative diagnosis such as Wegener’s granulomatosis or microscopic polyangiitis should be considered.]
Greenberger PA. Chronic urticaria: new management options. World Allergy Organ J. 2014 Nov 5;7(1):31. doi: 10.1186/1939-4551-7-31. eCollection 2014. Review. PubMed PMID: 25383135; PubMed Central PMCID: PMC4223736.
Mechanisms other than allergen-antibody interactions are known to cause histamine release from mast cells. Many drugs, for example morphine, can induce direct histamine release not involving any immunoglobulin molecule. Also, a diverse group of signaling substances, called neuropeptides, have been found to be involved in emotionally induced hives. Dominantly inherited cutaneous and neurocutaneous porphyrias (porphyria cutanea tarda, hereditary coproporphyria, variegate porphyria and erythropoietic protoporphyria) have been associated with solar urticaria. The occurrence of drug-induced solar urticaria may be associated with porphyrias. This may be caused by IgG binding, not IgE.
Once it has been discovered that the anti-IgE Fc-receptor antibody is present in a patient’s blood, it is no longer necessary to look for any other cause for hives. Why this autoantibody triggers hives only intermittently is unknown. Many people with this autoantibody feel that their hives are more likely to occur when they are stressed. Some women feel that hormonal changes that occur just prior to their menstrual periods also trigger their hives. Some medications, especially aspirin, ibuprofen (Advil), or naproxsen (Aleve) are also more likely to trigger hives. However, Tylenol (acetominophen) does not usually trigger hives or swelling.
In many cases, mild hives won’t need treatment and will go away on their own. If a definite trigger is found, avoiding it is part of the treatment. If the hives feel itchy, the doctor may recommend an antihistamine medicine to block the release of histamine in the bloodstream and prevent breakouts.
So, in many patients with chronic hives, there is really no exposure (drug, food, insect, chemical) to blame for the urticaria. The patient must understand and accept this for their ideal management. Basically, all that needs to be done is treat the hives. The main treatment of hives is antihistamines, and they will work if they are used properly. Common reasons for lack of effectiveness of antihistamines are 1) the particular antihistamine used is not strong enough 2) the antihistamine is not used in a high enough dose 3) the antihistamines are continued for a long enough period.
Your body runs like a machine. I like to use the analogy of your body being like a car. You need to care for it, fuel it, get it checked up regularly, and do everything you can to prolong it’s life. When there’s an issue with your car’s engine, your check engine light pops up. That light is your car telling you, “Hey there’s something wrong with me. You might want to check it out”. Similarly, your body gives out physical signs when something’s not right. If you have an unhealthy diet, you have less energy. If you’re smoking a pack of cigarettes a day, you start to have trouble breathing. And if you’re too stressed out, you can develop Stress Hives (also known as stress Urticaria).
If the urticaria remains unresponsive to high-dose H1 anti-histamines, H2 anti-histamine treatment, at standard dosage, may be added. This is an off-licence use of these drugs, but there is evidence that combined H1 and H2 anti-histamine treatment gives better symptom control than H1 anti-histamine treatment alone [52,53]. Unlike cimetidine, ranitidine does not inhibit oxidative hepatic drug metabolism and so has less potential to cause drug interactions.
Jump up ^ Tebbe, Beate; Geilen, Christoph C.; Schulzke, Jörg-Dieter; Bojarski, Christian; Radenhausen, Michael; Orfanos, Constantin E. (1996). “Helicobacter pylori infection and chronic urticaria”. Journal of the American Academy of Dermatology. 34 (4): 685–6. doi:10.1016/S0190-9622(96)80086-7. PMID 8601663.

“fruitarian diet _hives on face”

Hives are a common skin condition and rarely require serious medical intervention. Hives have a tendency to resolve on their own, but cause discomfort and pain during an attack. In very rare cases, hives may lead to a marked drop in blood pressure and shock. This is referred to as ‘anaphylactic shock’ and requires immediate medical treatment. Hives are generally caused by an allergic reaction to certain foods, medication or insect bites. There are also some cases of hives where no specific cause is determined. In such situations, changes to diet and lifestyle may help in preventing the condition. Contrary to popular belief, hives are not caused by stress or anxiety.
Jump up ^ Chung, Man Cheung; Symons, Christine; Gilliam, Jane; Kaminski, Edward R. (2010). “Stress, psychiatric co-morbidity and coping in patients with chronic idiopathic urticaria”. Psychology & Health. 25 (4): 477–90. doi:10.1080/08870440802530780. PMID 20204926.
It is typically diagnosed when chronic hives do not appear to be associated with any other systemic disease process, and are not due to one of the physically induced urticarias. Research during the past decade suggests an association with autoimmunity in 35-45% of patients. When severe, it can be resistant to therapy and there is a 40% incidence of accompanying angioedema. Angioedema may involve the face, lips, tongue, throat, or extremities but not the larynx. The remission rate is 65% within three years, 85% within five years and 98% within ten years. A form of angioedema in the absence of hives with no identifiable cause is termed idiopathic angioedema.
Chronic urticaria is defined as hives, typically occurring daily, for greater than 6 weeks duration. Chronic idiopathic urticaria, which has no discernable external cause, comprises the majority of cases of chronic urticaria. Over half of all cases of chronic idiopathic urticaria are thought to occur by an autoimmune mechanism, primarily autoantibodies against the high affinity immunoglobulin E (IgE) receptor (FcεRI). Chronic urticaria is hypothesized to occur because of a predilection in the patient to develop reactions to self. Supporting this hypothesis, a strong association has been found between chronic urticaria and additional autoimmune diseases, such as thyroid disease, rheumatoid arthritis, systemic lupus erythematosus, Sjögren’s syndrome, celiac disease and type 1 diabetes, among others. Herein, we review the associations between chronic urticaria, thyroid disease, and other autoimmune disorders, as well as the implications that these correlations hold for therapeutic intervention in chronic urticaria.
In many cases, mild hives won’t need treatment and will go away on their own. If a definite trigger is found, avoiding it is part of the treatment. If the hives feel itchy, the doctor may recommend an antihistamine medicine to block the release of histamine in the bloodstream and prevent breakouts.
Individuals who have urticaria due to aspirin may need to avoid foods that contain high levels of salicylates. As well as this, antihistamines are the mainstay of drug treatment for urticaria and angioedema. They may be taken just when required or regularly to prevent episodes occurring in chronic spontaneous urticaria.
Patches of raised bumps (also called wheals) that appear suddenly. Wheals are pale red in colour and can range in size from a millimetre to several centimetres. Individual hives can join together too.
Many antihistamines are available without prescription, such as diphenhydramine (Benadryl), taken in doses of 25 milligrams, and chlorpheniramine (Chlor-Trimeton), taken in a dose of 4 milligrams. These can be taken up to three times a day, but because these medications can cause drowsiness, they are often taken at bedtime. Those who take them should be especially careful and be sure they are fully alert before driving or participating in other activities requiring mental concentration.
Stress hives suck, but they’re not the end of the world. If you have chronic urticaria, it’s a good sign that stress is really eating away at you and having a negative effect on your life. My goal with TSM is to help you manage stress and live a more enjoyable life. Don’t let stress control your life.
Additionally, inflammatory diseases like rheumatic fever can affect the skin, as can pemphigoid, a rare rash that appears during pregnancy. A rare disorder, mastocytosis involves the mast cells, which are connected to allergies. Hives may also be caused by amyloidosis, polycythemia vera (bone marrow), or cholecystitis (gallbladder).
In patients with very severe acute urticaria, associated possibly with angioedema or systemic symptoms, a short course of oral steroids is indicated. Dose and duration of the treatment is determined by the patient’s weight and clinical response. Prolonged courses of oral steroids for chronic urticaria should be avoided whenever possible, and if long-term steroid treatment is considered necessary, the patient should be followed-up regularly and prescribed prophylactic treatment against steroid-induced osteoporosis at an early stage [56]. Oral steroids may be needed for urticarial vasculitis (see below) or severe delayed pressure urticaria.
Approximately 50% of adults [37] and children [38,39] with chronic urticaria have histamine-releasing autoantibodies. These are IgG autoantibodies directed against the α subunit of the IgE receptor on mast cells (and basophils) or, more rarely, against IgE bound to mast cells (or basophils). These autoantibodies cause mast cell degranulation via activation of the classical complement pathway [40,41]. They may be demonstrable by the autologous serum skin test (ASST), in which intradermal injection of autologous serum causes a weal and flare response [42]; however, the ASST is not performed routinely in clinic and clinically, therefore, these patients are very often classified as having idiopathic urticaria. Patients with autoimmune urticaria frequently have associated angioedema and the urticaria tends to run a more chronic course.
If home and natural remedies aren’t enough to help your hives, over-the-counter (OTC) treatments may be your best bet. Not only can OTC options relieve itching and irritation, they can target your body’s histamine response, which is what causes hives to appear.
Diagnose hives. The diagnosis of hives is generally straightforward and requires only a visual examination. If you were unable to find the allergen causing your hives on your own, your doctor can run tests when you are diagnosed to determine what causes your hives. He or she does this by performing an allergy test that test for skin reactions to a variety of substances.
An allergic skin condition featuring itchy, raised, pink areas surrounded by pale skin. These patches persist for periods of half an hour to several days and then resolve. Urticaria may result from sunlight, cold, food or drug allergy, insect bites, scabies, jelly fish stings or contact with plants. Treatment is with antihistamine drugs or corticosteroids. Also known popularly as nettle rash or hives.
Try coleus forskohlii. Coleus forskohlii is a plant native to Southeast Asia that is used in Ayurvedic medicine. Studies have shown that it reduces the histamine and leukotriene release from mast cells when you get hives.[23]
Hives usually itch, but they may also burn or sting. They can show up anywhere on your body, including the face, lips, tongue, throat, and ears. They range in size from a pencil eraser to a dinner plate and may join together to form larger areas known as plaques. They can last for hours, weeks, or even years.
Pressure hives produces deep and painful local swelling. The swelling can occur immediately or several hours later. This type of urticaria can be triggered by prolonged sitting. It is also triggered but the wearing of tight clothing and consequently is seen in areas such as the waist/belt line, under elastic such as panties, socks or wristbands. Choosing appropriate clothing and/or taking regular breaks from sitting, usually controls pressure urticaria. If medication is needed, steroids are usually administered for a short time.
Hives (urticaria) is a common skin rash characterised by one or many weals of reddened, raised and itching skin. The weals can vary in size, from relatively small to as large as a dinner plate. The weals may be circular, oval or annular (ring-shaped).
Change in temperature. Cold urticaria is caused by exposure to low temperatures followed by re-warming. This can be severe and life-threatening if there is a general body cooling – for example, after a plunge into a swimming pool.
Patients with urticaria make up a large proportion of the referrals to allergy clinics. There are many causes of urticaria and it is the clinical history which is most important when attempting to identify potential causes; however, urticaria is very often idiopathic. In a small minority of patients urticaria may be a symptom of a serious underlying medical illness or the allergic symptoms may progress to cause systemic reactions, and it is important to identify these patients and to remember that severe urticaria is a distressing and disabling condition. This review will discuss classification, investigation and treatment of urticaria and will consider some of the more unusual types of urticaria that may be encountered in the out-patient clinic.
Acute urticaria, which is an allergic (IgE-mediated) reaction, is common in both children and adults. This type of urticaria is a self-limiting process that occurs when mast cells in the skin are activated, degranulate, and secrete histamine, leukotrienes, platelet activating factor (PAF), enzymes such as tryptase and chymase, cytokines, and chemotactic cytokines (chemokines). When an allergen (for example, a food) to which the person is allergic arrives via the bloodstream to mast cells in the skin, it binds to the IgE, and the mast cells become activated, and degranulate. Allergens that can result in acute urticaria include foods, drugs (particularly antibiotics such as penicillin), and venoms from bee, wasp, yellow jacket, hornet, or fire ants. Virtually any allergen that can be disseminated throughout the body, and to which there is an IgE response, has the potential to cause generalized urticaria.
The symptoms of a stress rash include red bumps and swollen areas on your skin that seem to appear randomly. Quite often, they are incredibly itchy and can also have a prickly or burning sensation when touched. Don’t scratch them! Don’t be surprised if your stress rash appears on your face, neck and chest, as that is where I get mine. Others get them on their arms and legs. Stress hives can be as small as a pencil eraser or as BIG as a dinner plate! Often the smaller hives meld with the bigger hives to make one big messy outbreak that looks absolutely terrible. However, with the right over the counter medication, like OxyHives, you’ll be able to get rid of them in no time.
Lancey RA, Schaefer OP, McCormick MJ. Coronary artery bypass grafting and aortic valve replacement with cold cardioplegia in a patient with cold-induced urticaria. Ann Allergy Asthma Immunol. 2004 Feb. 92(2):273-5. [Medline].
It has been suggested that natural salicylates in foods and food additives (‘E’ numbers), including colourings (azo and non-azo dyes), preservatives (sulphites, nitrates and nitrites), anti-oxidants [butylated hydroxyanisole (BHA) and butylated hydroxytoluene (BHT)] and aspartame (an artificial sweetener), may cause urticaria [9,10], particularly in patients who develop acute allergic symptoms after taking aspirin (acetylsalicylic acid) or non-steroidal anti-inflammatory drugs (NSAIDs); however, randomized controlled trials are lacking [11]. Skin prick testing and SIgE tests to the foods are negative, as the reaction is not IgE-mediated.
Figure out what’s adding to your stressful feelings and remove or reduce the source. If your stress is from overwork, learn to delegate, especially during allergy season. If your stress is from overextending yourself, rethink your priorities.
William E. Berger, HIVES: The Road to Diagnosis and Treatment of Urticaria, Annals of Allergy, Asthma & Immunology, Volume 92, Issue 5, May 2004, Page 582, ISSN 1081-1206, 10.1016/S1081-1206(10)61771-1.
If you are experiencing hives, don’t know the cause and they have lasted at least six weeks or more, talk to a specialist to see if you have chronic idiopathic urticaria. There may be medicines they can prescribe to help you manage your condition.
If you want to remove stress hives from your life forever, then all you need to do is remove all the stress and anxiety form your life. If only it were that easy, right? As I discovered from my dermatologist, the only treatment that will make your stress bumps go away for good is OxyHives. It takes 1-2 hours, but it works for me each and every time. With 2 small kids, I may not be able to remove all the stress form my life, but at least I can remove the rash and hives that appear when I get stressed out. Learn more about OxyHives and how to get rid of your hives fast at http://www.hives.org/how-to-get-rid-o…
Greenberger PA. Chronic urticaria: new management options. World Allergy Organ J. 2014 Nov 5;7(1):31. doi: 10.1186/1939-4551-7-31. eCollection 2014. Review. PubMed PMID: 25383135; PubMed Central PMCID: PMC4223736.
Do you know the causes and symptoms of hives? It’s helpful to know both so that you can avoid hives, or recognize them if they do appear on yourself or a loved one. Conventional hives treatment comes with the possibility of unwanted side effects. Why not choose a natural hives treatment? Nobody likes walking around with bumps or welts on their skin. Let’s talk about how to avoid hives, how to identify hives and how to treat hives naturally.
So, in many patients with chronic hives, there is really no exposure (drug, food, insect, chemical) to blame for the urticaria. The patient must understand and accept this for their ideal management. Basically, all that needs to be done is treat the hives. The main treatment of hives is antihistamines, and they will work if they are used properly. Common reasons for lack of effectiveness of antihistamines are 1) the particular antihistamine used is not strong enough 2) the antihistamine is not used in a high enough dose 3) the antihistamines are not continued for a long enough period.
Mutations in the CIAS1 gene, which codes for cryopyrin, cause autoinflammatory syndromes, one of which is Muckle–Wells syndrome [85], also known as urticaria–deafness–amyloidosis (UDA). It is a rare, autosomal dominant condition which presents with spontaneous urticaria, sensorineural deafness, episodic fevers and arthralgia and it may progress to renal amyloid.

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The most common symptoms are hives that cause itching, pain and a burning feeling. Skin patches often are red-rimmed with white centers, and unlike common hives may have petechia, or bleeding under the skin. The patches can be present for days and result in skin discoloration as they heal. Some patients may also have fevers, joint and abdominal pain, shortness of breath and swollen lymph glands. Sometimes urticarial vasculitis even causes injury to vital organs including the gut, lungs and kidneys.
Stress hives develop due to chronic stress or tension in your life, and appear as red, raised and swollen areas on the skin that seem to suddenly appear. Stress hives, which are also known as a stress rash or as stress bumps, are often incredibly itchy, and some people report having a burning or stinging sensation wherever they appear. Stress induced hives will go away by themselves when you have successfully released ALL the stress from your body or taken the hives treamtment OxyHives, which will eliminate your symptoms.
Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Biogen/IDEC (Discussion of Drug reactions in relationship to an agent for Multiple Sclerosis)
Received income in an amount equal to or greater than $250 from: Abbvie; Lilly; Argenx; Amgen
Received honoraria from UpToDate for author/editor; Received honoraria from JAMA Dermatology for associate editor; Received royalty from Elsevier for book author/editor; Received dividends from trust accounts, but I do not control these accounts, and have directed our managers to divest pharmaceutical stocks as is fiscally prudent from Stock holdings in various trust accounts include some pharmaceutical companies and device makers for i inherited these trust accounts; for: Celgene; Pfizer; 3M; Johnson and Johnson; Merck; Abbott Laboratories; AbbVie; Procter and Gamble; Amgen.
Image Source: Fitzpatrick’s Color Atlas & Synopsis of Clinical Dermatology Klaus Wolff, Richard Allen Johnson, Dick Suurmond Copyright 2005, 2001, 1997, 1993 by The McGraw-Hill Companies. All Rights reserved.
In the overwhelming majority of cases it is not “something” causing the chronic hives, it is “nothing.” That is, in about 95% of chronic hives cases, the hives are “idiopathic” (a medical term that means there is no discernible cause). Because of those 5% of cases with a cause, it is worthwhile to see a physician to determine if any underlying disease is present (e.g. thyroid problems, liver problems, skin diseases, sinusitis) or if there is an allergic cause (i.e. a reaction to a drug, insect, food, etc.). This can be accomplished by a good history and physical, a few blood and urine tests and sometimes a skin biopsy. Some patients with chronic hives and elevated anti-thyroid antibodies in the blood improve when given thyroid supplement even if the thyroid function is normal.
If your symptoms worsen or last longer than a couple of days, see your doctor. They can identify the cause and provide you with medication to help relieve your symptoms. Understanding what caused the hives is key to preventing future outbreaks.
Chronic hives don’t last forever. Most people have them for 1 to 5 years. For a small number of people, it can last longer. There’s no known cure, but medicines and lifestyle changes can help you feel better.
There are numerous possible causes of hives, as they occur when a chemical called histamine is released in the skin. This can happen as a result of allergies, insect bites or stings, infections, exposure to certain chemicals, sunlight, heat or and in response to some medications (often antibiotics or painkillers). 
When we’re exposed to a stressful situation, our bodies prepare for confrontation. This “fight or flight” response is controlled by our hormones and nervous system and dates back to prehistory, as we prepared to fight or flee our stressor.
Jump up ^ Langan, EA; Nie, Z; Rhodes, LE (Sep 2010). “Melanotropic peptides: more than just ‘Barbie drugs’ and ‘sun-tan jabs’?”. The British Journal of Dermatology. 163 (3): 451–5. doi:10.1111/j.1365-2133.2010.09891.x. PMID 20545686.
Nonthrombocytopenic purpura: Cryofibrinogenemic purpura Drug-induced purpura Food-induced purpura IgA vasculitis Obstructive purpura Orthostatic purpura Purpura fulminans Purpura secondary to clotting disorders Purpuric agave dermatitis Pigmentary purpuric eruptions Solar purpura Traumatic purpura Waldenström hyperglobulinemic purpura Painful bruising syndrome

“allergic reaction hives on face what to do if you have hives”

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.
Food allergy should be considered in acute urticaria and urticaria in children. Such foods as tree nuts, peanuts, eggs, shellfish, and tomatoes should be considered (the involvement of food additives or preservatives is controversial). [10] ) Please visit our main article to learn more about food allergies.
This document has been developed and peer reviewed by ASCIA members and is based on expert opinion and the available published literature at the time of review.  Information contained in this document is not intended to replace medical advice and any questions regarding a medical diagnosis or treatment should be directed to a medical practitioner. Development of this document is not funded by any commercial sources and is not influenced by commercial organisations.
Hives can look ugly and are unbelievably itchy, but they are not in themselves dangerous. However, if you have hives and other symptoms such as dizziness, vomiting, diarrhea, difficulty in breathing, difficulty swallowing or faintness, these are signs and symptoms of a much more reaction – anaphylaxis. Anaphylaxis is life-threatening! If you experience hives plus one or more of these other symptoms soon after eating or being injected with a substance that you do not usually use, OBTAIN MEDICAL HELP IMMEDIATELY.
Hives treatment may not be needed if hives are mild. If you wait a short time, they can disappear on their own without any intervention. If you want to do something to help them go away faster and to reduce itching and swelling, make sure that you do not take any hot baths or showers while you have hives. Also, avoid wearing any tight-fitting clothing because this can further irritate the area where you have hives. (14) This all applies to babies or toddlers with hives as well. Make sure you don’t bathe a child with hives in water that is too hot and keep their clothing loose-fitting and breathable.
The attack begins with red, raised, spongy welts on the skin that develop on a certain part of the body. These welts are itchy and may increase in size over time. Sometimes they even join together to form a large raised rash
Angioedema is swelling in the deeper layers of a person’s skin. It’s often severe and is caused by a build-up of fluid. The symptoms of angioedema can affect any part of the body, but usually affect the:
Robert A Schwartz, MD, MPH Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, University of Medicine and Dentistry of New Jersey-New Jersey Medical School
This antibiotic is available topically and as an oral medication. This medication can treat inflammation caused by hives or other skin conditions caused by bacterial infection. It’s important to take all antibiotics prescribed.
Hives can also be classified by the purported causative agent. Many different substances in the environment may cause hives, including medications, food and physical agents. In perhaps more than 50% of people with chronic hives of unknown cause, it is due to an autoimmune reaction.[6]
Physically induced hives and/or swelling share the common property of being induced by environmental factors such as a change in temperature or by direct stimulation of the skin by pressure, stroking, vibration, or light.
For chronic hives, the doctor may suggest a non-sedating (non-drowsy) prescription or over-the-counter antihistamine to be taken every day. Not everyone responds to the same medications, though, so it’s important to work with a doctor to find the right one for your child.
Hives Dermatology A condition characterized by pruritic raised red welts on the skin, associated with allergic reactions and histamine release or defects in the complement or kinin systems Risk factors Prior allergic reactions–eg, hay fever and angioedema Triggers Medications; foods–eg, berries, shellfish, fish, nuts, eggs, milk; pollen; animal dander–especially cats; insect bites; mechanical stimulants–eg, water, sunlight, cold or heat; emotional stress; post-infection; linked to other disease–eg, autoimmune diseases SLE, leukemia, etc; may be partially hereditary, dermographism, cold urticaria, echinococcus infection–dog tapeworm, hereditary angioedema, Henoch-Scho¨nlein purpura, mononucleosis, hepatitis, mastocytosis
In other words, when a person is stressed, any inflammatory reactions are likely to be more severe in a person who is susceptible to a reaction. In this way, hives, or urticaria, can be linked to stress.
Italiano: Curare l’Orticaria in Maniera Naturale, Español: tratar la urticaria naturalmente, Português: Tratar a Urticária Naturalmente, Français: traiter l’urticaire naturellement, 中文: 自然地治疗荨麻疹, Русский: лечить крапивницу природными средствами, Deutsch: Nesselausschlag natürlich behandeln, Čeština: Jak vyléčit kopřivku přírodními metodami, Nederlands: Netelroos op natuurlijke wijze behandelen, العربية: علاج الشرى بعلاجات طبيعية, हिन्दी: शीतपित्त (urticaria या hives) का इलाज प्राकृतिक रूप से करें, Tiếng Việt: Trị chứng Phát Ban, 한국어: 두드러기 자연치유하는 법, ไทย: รักษาลมพิษตามธรรมชาติ
Where possible, identify and treat the cause. Nonspecific aggravating factors should be minimised, such as overheating, stress, alcohol, caffeine and medication likely to cause urticaria (eg, non-steroidal anti-inflammatory drugs (NSAIDs) and angiotensin-converting enzyme (ACE) inhibitors). Topical anti-pruritic agents such as calamine lotion or topical menthol 1% in aqueous cream may help ease symptoms.
Since hives can come and go so swiftly, a very significant percentage of cases are never accurately diagnosed. The hives can appear and disappear without any explanation of what caused them or cured them. Skin testing may be used in finding the source of infrequent hives; a detailed history is usually more rewarding. The patient can record everything that was ingested or touched for the 24 hours prior to the outbreak and bring this to the physician.
Topical therapies for hives are available but are generally ineffective. They include creams and lotions which help numb nerve endings and reduce itching. Some ingredients which can accomplish this are camphor, menthol, diphenhydramine, and pramoxine. Many of these topical preparations require no prescription. Cortisone-containing creams (steroids), even strong ones requiring a prescription, are not very helpful in controlling the itch of hives.
Jump up ^ Bito, Toshinori; Sawada, Yu; Tokura, Yoshiki (2012). “Pathogenesis of Cholinergic Urticaria in Relation to Sweating”. Allergology International. 61 (4): 539–44. doi:10.2332/allergolint.12-RAI-0485. PMID 23093795.
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Hives are a very itchy rash usually caused by an allergic reaction. Hives look like raised pink spots with pale centers on the skin. The spots range from 1/2 inch to several inches wide (hives often look like mosquito bites). The spots may be different shapes. The spots rapidly and repeatedly change in location, size, and shape. Giant hives are called angioedema. This can cause large swelling beneath the skin, especially of the face.
Examination of bedding and the children’s play areas for insects may provide a clue to the cause. If insects are found, they must be eliminated by insect repellant or fumigation, and pets should be washed. These bugs are usually not visible to the naked eye. Hanging the bedding in the hot sun may rid these of the bedbugs.
The most common form of mastocytosis, maculopapular cutaneous mastocytosis is also called urticaria pigmentosa. Itchy brown patches or freckles on the skin are due to abnormal collections of mast cells.

“cold urticaria causes _hives on chest”

Examination of the head should note any swelling of the face, lips, or tongue; scleral icterus; malar rash; tender and enlarged thyroid; lymphadenopathy; or dry eyes and dry mouth. The oropharynx should be inspected and the sinuses should be palpated and transilluminated for signs of occult infection (eg, sinus infection, tooth abscess).
Urticaria is a skin condition commonly known as hives. It produces an itchy rash that tends to come and go and can last for a variable period of time. The condition can be acute (lasting less than 6 weeks) or chronic (lasting longer than 6 weeks). Most cases of urticaria have no known cause.
The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. If you are experiencing symptoms or need health advice, please consult a healthcare professional. See additional information.
Stress hives are red, raised swollen areas and bumps (AKA stress bumps) that appear on your skin, that develop due to too much stress or anxiety in your life. Stress hives can itch like crazy, giving you the feeling like ants or spiders are crawling over your skin. The only way to get rid of your stress hives is to remove all the stress and anxiety form your life. Because this is a near impossibility for most people, there is one stress hives treatment, known as OxyHives, that can be taken that reduces the swelling and itchy feeling within 2 hours.
The most common foods that cause hives are nuts, chocolate, fish, tomatoes, eggs, fresh berries, soy, wheat, and milk. Fresh foods cause hives more often than cooked foods. Certain food additives and preservatives may also be to blame.
One study found that chronic urticaria can have the same negative impact as heart disease. It also found that 1 in 7 people with chronic urticaria had some sort of psychological or emotional problem, such as: 
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Chronic hives can go on for months and years. They can interfere with sleep, work and other activities. The following precautions may help prevent or soothe the recurring skin reactions of chronic hives:
Dr. Li says sweating can also signal a breakout for those prone to hives. The sweat itself doesn’t cause hives, but indicates your body heat rising. For some, excess warmth on the skin, from a workout or other body-heat inducing activity, is enough to produce hives. “Even taking a hot shower makes them break out,” Dr. Li says.
In addition, the mission of AAFA’s Web site is to provide online access to AAFA’s reliable, validated asthma and allergy information and tools to families, patients, parents, healthcare providers, policymakers and others.
Hives are a common skin condition and rarely require serious medical intervention. Hives have a tendency to resolve on their own, but cause discomfort and pain during an attack. In very rare cases, hives may lead to a marked drop in blood pressure and shock. This is referred to as ‘anaphylactic shock’ and requires immediate medical treatment. Hives are generally caused by an allergic reaction to certain foods, medication or insect bites. There are also some cases of hives where no specific cause is determined. In such situations, changes to diet and lifestyle may help in preventing the condition. Contrary to popular belief, hives are not caused by stress or anxiety.
Get medical help. In rare cases, hives can cause swelling in the throat and can cause an emergency situation that requires epinephrine. Epinephrine can also be used as an EpiPen in those who are severely allergic to a particular substance and require epinephrine to avoid anaphylaxis, which is a severe allergic reaction that may occur with or without the appearance of hives. The symptoms of an anaphylactic reaction include:
If a non-drowsy antihistamine doesn’t work, the doctor may suggest a stronger antihistamine or another medicine or a combination of medicines. In rare cases, a doctor may prescribe a steroid pill or liquid to treat chronic hives. Usually this is done for just a short period (5 days to 2 weeks) to prevent harmful steroid side effects.
^ Jump up to: a b Kozel, Martina M.A.; Bossuyt, Patrick M.M.; Mekkes, Jan R.; Bos, Jan D. (2003). “Laboratory tests and identified diagnoses in patients with physical and chronic urticaria and angioedema: A systematic review”. Journal of the American Academy of Dermatology. 48 (3): 409–16. doi:10.1067/mjd.2003.142. PMID 12637921.
I went in some hay and got the hives on the back of my legs so close together it looked like one big red/pink spot on the back of my legs so i took 2 cold rags and put them on the back of my legs for about 8-10 minutes and TOTALLY relieved itching.
If you experience swelling of the lips or face, trouble breathing, or wheezing, you should seek immediate medical attention. These can be life-threatening complications, and you will likely need a shot of epinephrine for treatment.
The following pictures are from other people that got a rash from stress. While a stress rash is very common, it is not an incurable condition. So if you are wondering “can anxiety cause a rash?” the answer is yes, and the solution is OxyHives. If none of these pictures look like your stress related rash, please keep in mind that everyone’s rash will look differently depending on various other factors.
Contrary to this opinion, William E. Berger, MD, MBA, professor of medicine at the University of California, tells WebMD that allergies create stress because you cannot focus on tasks and your coping skills decline.
It is estimated that urticaria will affect 25% of the population at some point in their lifetime. Chronic urticaria (CU) involves hives, typically occurring daily, for greater than 6 weeks duration. CU generally lasts 1 to 5 years, but can have a prolonged course beyond 5 years in roughly 14% of patients. Individuals affected by CU have reported emotional distress, feelings of isolation and fatigue in response to their condition, similar to findings in patients with ischemic heart disease. This underscores the importance of managing CU appropriately to minimize both physical and psychological impacts of this disease.
When hives occur due to an allergy, high levels of histamine and other chemical messengers are released into the skin. These substances cause your blood vessels to open up. This often results in pinkness or redness, as well as extra fluid in the tissues, which causes swelling and itching. (7)
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
My rash ravaged my body after the prednisone ended and I drank a glass of wine…. Big mistake. I thought it was poison ivy but nothing helps. I’m getting it yearly and it follows the nerve paths so if you have some helpful guidance I will check it out. non-sedating antihistamines are not effective, a 4 to 5-day course of oral prednisone (prednisolone) may be warranted in severe acute urticaria, particularly if there is angioedema. Systemic steroids do not speed up resolution of symptoms.
Most of the time, a doctor can diagnose hives just by looking at the skin. To find the cause, you may be asked questions about your child’s medical history, recent exposure to allergic triggers, and daily stressors.
Darius Mehregan, MD, Associate Professor, Hermann Pinkus Chairman of Dermatology, Department of Dermatology, Wayne State University School of Medicine; Clinical Associate Professor of Pathology, University of Toledo College of Medicine; Dermatopathologist, Pinkus Dermatopathology Laboratory; Consulting Staff, Department of Dermatology, J Dingell Veterans Affairs Medical Center
AAFA provides practical information, community based services and support to people through a network of Regional Chapters, Support Groups and other Local Partners around the U.S. AAFA develops health education, organizes state and national advocacy efforts and funds research to find better treatments and cures.
Occasionally, a person will continue to have hives for many years. These hives, called chronic urticaria, can be one of the most frustrating problems dermatologists see in their patients. This is defined as hives lasting longer than 6 weeks. Patients like this come in miserable and worried with this problem, often having seen multiple specialists. Neither the patient nor the doctor can determine the cause of the hives. Patients will often say, “It has got to be something causing these hives.” The truth is hard to accept for some patients.
An objective trial of a low salicylate diet may be indicated in patients who give a clear history of having developed more severe urticaria, or even angioedema or bronchospasm, after taking aspirin or NSAIDs and, particularly, if the patient also responds to LTRA treatment [57]. It is important to explain to the patient that the diet should not become more troublesome than the urticarial symptoms themselves and it may be simpler for patients to take a regular dose of an anti-histamine, rather than continue on a strict exclusion diet.
“My allergist tested me for everything but we still couldn’t figure out a cause for the hives. It was so frustrating to keep searching for a cause. And as much as I was seeking answers, I wasn’t getting any, and wasn’t getting any relief either. Weeks passed, but the hives didn’t. Friends and family offered suggestions and their own explanations but they didn’t understand what I was going through.
The most popular treatment for relief from hives is an over-the-counter medication that contains antihistamine. These drugs help fight against an attack of hives and counter the release of histamine from the skin cells that causes the rash. However, antihistamines tend to have side effects such as drowsiness, especially in children. If you prefer an alternative hives treatment, there are several home remedies for hives that are not only effective but safe as well. Do keep in mind that not all home remedies are subjected to scientific testing and results can therefore vary considerably. Some popular methods of home treatment for relief include:
“I’ve seen kids break out in hives from having a temper tantrum,” Dr. Li says. “Certainly, stress that’s anxiety-related can cause more itching in patients who have hives and they start to have more hives as a result of itching and scratching the existing ones.”
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Angioedema is swelling in the deeper layers of a person’s skin. It’s often severe and is caused by a build-up of fluid. The symptoms of angioedema can affect any part of the body, but usually affect the:
Histamine is the ligand for 2 membrane-bound receptors, the H1 and H2 receptors, which are present on many cell types. The activation of the H1 histamine receptors on endothelial and smooth muscle cells leads to increased capillary permeability. The activation of the H2 histamine receptors leads to arteriolar and venule vasodilation. [3, 4, 5] This process is caused by several mechanisms as follows:

“which is urticaria ferticare”

However, says Anand, “we don’t know if the disease causes urticaria or if the person’s propensity to have an autoimmune reaction causes it. But if we don’t find any triggers when we test for allergens, then we look for an underlying infection or autoimmune disease.” Anand adds that treatment for that condition can help clear the hives.
In acute forms of urticaria and angioedema, a history of the events surrounding the outbreak is the most important information that can be obtained. Here are three common questions your allergist may inquire about:
In children, an objective trial of a low E numbers diet may be helpful, especially if the clinical history suggests that episodes of urticaria may be related to ingestion of foods which are high in E numbers.
If you don’t think stress is causing your hives or you have tried stress relief activities and still have hives, they may be caused by something other than stress, or in addition to stress. Other causes of hives include: 
Other options for refractory symptoms of chronic hives include anti-inflammatory medications, omalizumab, and immunosuppressants. Potential anti-inflammatory agents include dapsone, sulfasalazine, and hydroxychloroquine. Dapsone is a sulfone antimicrobial agent and is thought to suppress prostaglandin and leukotriene activity. It is helpful in therapy-refractory cases[44] and is contraindicated in patients with G6PD deficiency. Sulfasalazine, a 5-ASA derivative, is thought to alter adenosine release and inhibit IgE mediated mast cell degranulation, Sulfasalazine is a good option for people with anemia who cannot take dapsone. Hydroxychloroquine is an antimalarial agent that suppresses T lymphocytes. It has a low cost however it takes longer than dapsone or sulfasalazine to work.
Acute urticaria may be, in a short time, associated with life-threatening angioedema and/or anaphylactic shock, although it usually presents as rapid-onset shock without urticaria or angioedema. (See Emergency Care and Complications.)
If any features of anaphylaxis (eg, hypotension, respiratory distress, stridor, gastrointestinal distress, swallowing problems, joint swelling, joint pain) are present, immediate medical intervention should occur. (See Physical Examination.)
Physical urticaria: Hives caused by direct physical stimulation of the skin — for example, cold, heat, sun exposure, vibration, pressure, sweating, and exercise. The hives usually occur right where the skin was stimulated and rarely appear elsewhere. Most of the hives appear within one hour after exposure.
Previous studies have sought to determine the different types of stress that worsened symptoms in people with chronic hives. One study found that 16 percent of the people studied experienced a stressful event within one year before the onset or worsening of their hives.
Urticaria. This is a close-up view of wheals with white-to-light-pink color centrally and peripheral erythema. These are the classic lesions of hives, or Some hives are caused by allergies to such things as foods, medications, and insect stings, but the large majority of cases are not allergic, and no specific cause for them is ever found. It is characteristic that they are transient and highly pruritic. The goal of treating most cases of ordinary urticaria is to relieve symptoms while the condition goes away by itself.
Jump up ^ Kaplan AP (2009). “What the first 10,000 patients with chronic urticaria have taught me: a personal journey”. J Allergy Clin Immunol. 123 (3): 713–717. doi:10.1016/j.jaci.2008.10.050. PMID 19081615.
Urticaria is a skin condition commonly known as hives. It produces an itchy rash that tends to come and go and can last for a variable period of time. The condition can be acute (lasting less than 6 weeks) or chronic (lasting longer than 6 weeks). Most cases of urticaria have no known cause.
Hives are red and sometimes itchy bumps on your skin. An allergic reaction to a drug or food usually causes them. Allergic reactions cause your body to release chemicals that can make your skin swell up in hives. People who have other allergies are more likely to get hives than other people. Other causes include infections and stress.
Bluestein HM, Hoover TA, Banerji AS, Camargo CA Jr, Reshef A, Herscu P. Angiotensin-converting enzyme inhibitor-induced angioedema in a community hospital emergency department. Ann Allergy Asthma Immunol. 2009 Dec. 103(6):502-7. [Medline].
According to the American Osteopathic College of Dermatology, about half the cases of chronic idiopathic hives are due to immune systems that attack the body’s own tissues (also known as autoimmunity). Thyroid disease is the most commonly reported autoimmune condition in people with chronic hives, followed by rheumatoid arthritis and type 1 diabetes. A study published in September 2013 in the European Journal of Dermatology found that celiac disease is also associated with chronic hives.
A number of drugs, such as aspirin, NSAIDs, opiates, succinylcholine, and certain antibiotics (eg, polymyxin, ciprofloxacin, rifampin, vancomycin, some beta-lactams) can cause urticaria by a nonallergic mechanism rather than by IgE-mediated hypersensitivity.
Angiodema is what occurs when a swelling deep in the skin accompanies hives. This swelling does not last long but its presence is quite dramatic when it occurs. Angiodema can attack the extremities as well as the eyes or lips.
Question on Papular Urticaria: Is Urticaria & Papuller Urticaria the same? My 15 yr old sis is suffering from Papullar Urticaria since 2 yrs. We tried all medication including Allopathic (also Steroids), homeopathy. But no improvement. Pls suggest a remed
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Omalizumab, an anti-IgE antibody[9]. It is effective in 80% but requires monthly injections and relapse is common when it is stopped. The National Institute for Health and Care Excellence (NICE) recommends omalizumab as an add-on treatment for refractory severe chronic spontaneous urticaria[10].
Hives caused by the radiocontrast dye, codeine, morphine, and aspirin are usually not triggered by the immune system, rather these drugs cause the direct release of histamine from specialized white blood cells called mast cells.
Konstantinou GN, Asero R, Ferrer M, Knol EF, Maurer M, Raap U, et al. EAACI taskforce position paper: evidence for autoimmune urticaria and proposal for defining diagnostic criteria. Allergy. 2012 Nov 15. [Medline].
If your hives last more than a month or if they recur over time, see an allergist, who will take a history and perform a thorough physical exam to determine the cause of your symptoms. A skin test and challenge test may also be needed to identify triggers.
If the bumps are hard or filled with something other than fluid, they may be a sign of an underlying medical condition. Hives that occur along with peeling of the skin or blisters can be a sign of a serious allergic reaction. If you develop a rash or hives after taking a medication, you should consult your doctor immediately.
Physical factors such as cold, heat, sweating, exercise, pressure, sunlight, water and vibration may all trigger urticarial reactions. The weals of physical urticarias tend to be short-lived (less than an hour), apart from those of delayed pressure urticaria, which develop over a few hours and may take up to 2 days to disappear. International standards for diagnosing physical urticarias have been proposed [14].
urticaria pigmento´sa  the most common form of mastocytosis, characterized by small, reddish brown macules or papules that occur mainly on the trunk and tend to urtication upon mild mechanical trauma or chemical irritation.
An allergic skin condition featuring itchy, raised, pink areas surrounded by pale skin. These patches persist for periods of half an hour to several days and then resolve. Urticaria may result from sunlight, cold, food or drug allergy, insect bites, scabies, jelly fish stings or contact with plants. Treatment is with antihistamine drugs or corticosteroids. Also known popularly as nettle rash or hives.
The cause of most cases of urticarial vasculitis is unknown. It may be associated with a number of diseases, especially systemic lupus erythematosus, rheumatoid arthritis and Sjögren’s syndrome. Some cancers, including leukemias, colon and pancreatic, and infections like Hepatitis B and C can cause this form of vasculitis. So can some drugs, including antibiotics, ACE inhibitors used for treating high blood pressure, and certain diuretics.
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Mallory Shiver, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, Arkansas Foundation for Skin Cancer, Christian Medical and Dental Associations
Urticaria (hives) is a vascular reaction of the skin marked by the transient appearance of smooth, slightly elevated papules or plaques (wheals) that are erythematous and that are often attended by severe pruritus. Individual lesions resolve without scarring in several hours. Most cases of urticaria are self-limited and of short duration; the eruption rarely lasts more than several days, it but may be recurrent over weeks. Chronic urticaria is defined as urticaria with recurrent episodes lasting longer than 6 weeks).
Codeine and other opiate-derived medications can cause degranulation of mast cells by stimulation of opiate receptors. Urticaria and angioedema can result from agents that alter the metabolism of arachidonic acid, such as aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs). These responses to NSAIDs have the potential to be fulminant with generalized hives and swelling. Angiotensin-converting enzyme inhibitors (ACEIs), drugs used to treat hypertension, (eg, Captopril) can cause recurrent episodes of angioedema, but urticarial skin lesions are not observed. Because ACE normally inactivates bradykinin, the angioedema is thought to be due to elevated bradykinin levels causing dilation and leaking of vessels in deep layers of the skin. This is the most common cause of angioedema seen in emergency rooms. Tongue, throat and laryngeal swelling can be extremely severe and intubation may be necessary. The swelling resembles that seen in hereditary or acquired C1 inhibitor deficiency where bradykinin is also the mediator of swelling.
; hives intensely itchy skin wheals; arise as hypersensitivity reaction, or on exposure to trigger substances (e.g. in foods, plants, drugs or other agents), or due to uraemia; characteristic of anaphylaxis
Alcohol: Alcohol allergies are rather rare and in most cases the reaction is brought on by the ingredients used to prepare the alcoholic beverage rather than the alcohol itself. For instance a person may suffer from an allergic reaction after drinking wine but the root cause would probably be the grapes that were used to make the wine. In the same way a person may believe that they are allergic to the alcohol in beer although they are actually allergic to the wheat or barley that is used to make the beer. Some people may even be allergic to the yeast that is used in the fermentation process.

“urticarial reaction -hives caused by stress”

Jump up ^ Bito, Toshinori; Sawada, Yu; Tokura, Yoshiki (2012). “Pathogenesis of Cholinergic Urticaria in Relation to Sweating”. Allergology International. 61 (4): 539–44. doi:10.2332/allergolint.12-RAI-0485. PMID 23093795.
Low blood pressure, also referred to as hypotension, is blood pressure that is so low that it causes symptoms or signs due to the low flow of blood through the arteries and veins. Some of the symptoms of low blood pressure include:
Hives can also develop as a result of sun or cold exposure, infections, excessive perspiration, and emotional stress. The reason why stress seems to precipitate an outbreak of hives in many people is not completely understood but is likely related to the known effects of stress on the immune system. In many cases, the cause of hives in a given individual cannot be identified.
If home and natural remedies aren’t enough to help your hives, over-the-counter (OTC) treatments may be your best bet. Not only can OTC options relieve itching and irritation, they target your body’s histamine response, which is what causes hives to appear.
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Urticarial vasculitis carries a good prognosis, with most occurrences resolving in months to years. Urticarial vasculitis associated with hypocomplementemia is associated with a greater incidence of coexisting disease (ie, angioedema, connective-tissue disease [primarily SLE], chronic obstructive pulmonary disease).[10, 11] Mortality is rare. Some cohorts have demonstrated systemic involvement in roughly half of the patients, including musculoskeletal and ocular complications.[12]
Whenever possible, drug treatment should be avoided during pregnancy. Fortunately, chronic urticaria often improves in pregnancy; however, if symptoms are very severe and treatment is considered absolutely necessary, either chlorphenamine or loratidine may be prescribed. Data from several thousand women who had taken either chlorphenamine or loratidine in pregnancy, including data from several hundred who took anti-histamines during the first trimester [67,68], showed no increase in the incidence of fetal malformations. The lowest dose which controls symptoms should be used and the possibility of adverse effects should be discussed and documented. There is less clinical experience with cetirizine and therefore cetirizine is not recommended in pregnancy. Hydroxyzine is the only anti-histamine which is specifically contraindicated in pregnancy in the summary of product characteristics.
The majority of the time, a doctor will know that you have hives just by looking at your skin. To get to the root of your hives, a doctor also, hopefully, will  ask you about any recent life stressors, or exposure to possible or known allergens.  If a patient complains of itchiness, he or she will often recommend diphenhydramine. Common side effects of antihistamines include drowsiness, dizziness, dry mouth/nose/throat, upset stomach, increased appetite and weight gain, thickening of mucus, vision changes and feeling nervous, excited or irritable. (12)
It has been recently discovered that some persons who suffer with hives or angioedema also have an autoimmune disease. In these cases, autoantibodies have been formed that bind to the Fc-receptor on mast cells. The normal function of the Fc-receptor is to anchor allergic antibodies, called IgE, to the mast cell surface (see the mast cell diagram below). IgE is formed in allergic persons and binds specifically to allergens in the environment. When airborne allergens land on nasal tissues or eye conjunctiva, or are eaten (foods) and enter the body through the intestinal tract they bind to the specific IgE. As a result of this interaction, a signal is sent by the IgE antibody to the mast cell causing it to release its histamine. Histamine release causes the nasal and eye symptoms seen in those who suffer with “hay fever” and can produce hives, angioedema, or even life-threatening symptoms such as respiratory compromise or low blood pressure.
“There is a growing appreciation of the link between the mind, the immune system, and the skin,” Dr. Howard says. “The skin and the nervous system are derived from the same embryologic layer, and we are only just beginning to appreciate the implications of this link.”
Urticarial vasculitis tends to run a chronic course. Mortality is low, unless renal or pulmonary disease occurs. The goal of treatment is to achieve long-term control with the least amount of toxicity.
Urticaria, or hives, are red bumps that suddenly appear on your skin. Do hives itch? Yes, hives can be itchy. They can also sting or burn. What do hives look like? The appearance of hives can vary depending on the person and the cause. Hives often appear as swollen, pale or dark red bumps that are either tiny. They also can be larger and interconnected, forming welts. Sometimes the welts can merge together forming larger plaques. These plaques be as large as a dinner plate in size! (3)
Hives and stress are close related. The ideal stress hives cure would be to get rid of all the stress and tension in your body, but to be honest that´s impossible. Try at least to manage your stress levels and try and get rid of some tension. Try relaxation techniques such as yoga, meditation and self hypnosis, these methods can relieve your stress rash over time.
Jump up ^ Yang, Hsiao-Yu; Sun, Chee-Ching; Wu, Yin-Chang; Wang, Jung-Der (2005). “Stress, Insomnia, and Chronic Idiopathic Urticaria – a Case-Control Study”. Journal of the Formosan Medical Association. 104 (4): 254–63. PMID 15909063. Archived from the original on 2017-09-08.
HUVS is a very rare and severe form of Urticarial Vasculitis. HUVS patients have more extensive complement abnormalities (low circulating 3rd and 4th complement components). As well as the symptoms of HUV, patients will suffer from systemic problems such as: episcleritis or uveitis (bloodshot or inflamed eyes) (found in 30 per cent of patients); mild glomerulonephritis (kidney disease); pleuritis (inflammation of the membrane surrounding the lungs); angioedema (swelling of the tissues under the skin) (found in 50 per cent of patients); Chronic Obstructive Pulmonary Disease (COPD) (breathing difficulties) (found in 50 per cent of patients), and cardiac involvement such as myocardial infarction (heart attack)
What is cholinergic urticaria and how is it treated? Learn about cholinergic urticaria, a rash that can appear when the body gets warm and sweats. We look at symptoms, treatment, diagnosis, and prevention. Read now
Unfortunately, stress and allergies go hand in hand, says Los Angeles-based ear, nose, and throat doctor, Murray Grossan, MD. Once the allergy season is full-blown, the combination of miserable allergy symptoms, nights of fitful sleep, and fatigue, definitely leave you in need of stress relief.
Antihistamines that require a prescription include cyproheptadine (Periactin), which tends to cause drowsiness. A prescription antihistamine that causes little sedation is levocetirizine (Xyzal). Sometimes physicians combine these with other types of antihistamines called H2 blockers, such as ranitidine (Zantac) and cimetidine (Tagamet). This antihistamine list is not exhaustive. Physicians individualize treatment plans to suit specific patients and modify them depending on the clinical response.
The prognosis in acute urticaria is excellent, with most cases resolving within days. Acute urticaria usually can be controlled using only symptomatic treatment with antihistamines. If a known triggering factor is present, avoidance is the most effective therapy. Acute urticaria causes discomfort, but it does not cause mortality, unless it is associated with angioedema involving the upper airways. [25, 26, 27] If a patient continues to be exposed to a known trigger, the condition may become chronic.
Vena GA, Cassano N, Colombo D, Peruzzi E, Pigatto P. Cyclosporine in chronic idiopathic urticaria: a double-blind, randomized, placebo-controlled trial. J Am Acad Dermatol. 2006 Oct. 55(4):705-9. [Medline].
The most common causes of hives are an allergic reaction to certain medications such as antibiotics or codeine ingestion of foods like shellfish chocolate or berries or contact with pollen and cat dander.
Drugs that can cause hives and angioedema include aspirin and other nonsteroidal anti-inflammatory medications such as ibuprofen, high blood pressure drugs (ACE inhibitors), or painkillers such as codeine.
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Key to the prevention of hives is avoiding known triggers. Take note of when hives appears – is it after you eat certain foods? In times of stress? After playing with your dog or cat (animal dander is a common allergen)? You may need to keep a food diary to identify possible allergens in your diet.