How should hives be treated?

Written by Xie Ming Feng
Dermatology
Updated on September 12, 2024
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Urticaria is divided into acute and chronic types. Antihistamines are the first choice of treatment for acute urticaria. If the condition is severe and antihistamines are ineffective, corticosteroids can be used to control the condition. The fundamental treatment for chronic urticaria is to remove the cause, and specific medications should be used under the guidance of a doctor.

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Written by Quan Xiang Mei
Pediatrics
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Do children with urticaria fear heat?

Children with urticaria do not typically fear heat, but when the temperature is particularly high, they may experience alternating hot and cold temperatures. For instance, excessive sweating due to high temperatures can potentially irritate the skin, which might lead to a worsening of urticaria. When dealing with urticaria, it is essential to adjust the child's clothing according to the temperature conditions to avoid excessive sweating caused by wearing too much. Also, the alternation of warm and cold temperatures after sweating or exposure to wind can potentially aggravate the urticaria or cause it to recur. In the event of urticaria, depending on whether the child experiences symptoms such as itching, timely medical treatment should be administered, such as antihistamines, vitamin C, and calcium, all of which are viable options. The medication should be adjusted under the guidance of a doctor based on the child's condition.

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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 Zhu Zhu
Dermatology
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Is urticaria contagious?

Urticaria is not contagious. Urticaria is often associated with multiple factors such as infections, food and drug allergies, insect bites, and also related to genetics, climate, and environment. If urticaria occurs, it is advisable to promptly identify the allergen and avoid further contact with it to prevent the occurrence of urticaria. Urticaria is not infectious, but it is curable and recurrent.

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Written by Liu Gang
Dermatology
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Characteristics of papular urticaria

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

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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.