Symptoms of urticaria in children

Written by Huang Kun Mei
Pediatrics
Updated on November 17, 2024
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The symptoms of urticaria in children generally include the appearance of erythema and patches of varying sizes on the skin. Some patches may be bright red and then look more obvious. Systemic symptoms can occur, and some children may experience nausea, vomiting, etc. At this time, it may be considered to be caused by allergic factors, and it is necessary to come to the hospital as soon as possible to ascertain the cause in the child. Avoid contact with allergens and then conduct anti-allergy treatment according to the child's condition. If the child's skin scratch test is positive, it can confirm that the child has urticaria. Generally, urticaria subsides quite quickly, and it is considered a specific type of disease.

Other Voices

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Written by Li Ya Ping
Dermatology Department
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Will urticaria heal on its own?

Urticaria, also known as hives, is a localized edema of the skin and mucous membranes caused by a temporary increase in vascular permeability. As hives are localized and the edema is temporary, they often resolve on their own, typically within 24 hours. However, if the underlying cause is not removed, new hives can form as others subside, leading to a continual cycle of eruption. Therefore, the treatment of urticaria should first aim to identify the cause as much as possible. If a specific cause cannot be found, antihistamine medications can be taken orally, and topical medications can be used to treat pronounced itching.

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Is postpartum urticaria contagious?

Postpartum urticaria is not contagious. The occurrence of urticaria is mainly an allergic reaction to various factors such as certain foods, medications, plants, or infections. Clinically, it mainly manifests as dilation and increased permeability of small blood vessels in the skin and mucosa, resulting in skin rashes and redness. However, this condition is related to a decrease in the body's immune strength, making postpartum urticaria more likely to occur after childbirth. Postpartum urticaria has a certain hereditary nature. When postpartum urticaria occurs, one should not scratch it to prevent breaking the skin and causing secondary infections. Avoid using irritating liquids for cleansing or hot water for washing. When itching occurs, topical antipruritic agents can be applied. It is advisable to eat fresh vegetables and fruits in daily life and avoid spicy and irritating foods.

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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.

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What medicine is used for urticaria?

Urticaria primarily uses second-generation antihistamines as the first choice, and topical treatments that soothe and relieve itching can be used as appropriate. Traditional Chinese medicine often treats it with herbal decoctions based on syndrome differentiation, and specific medications should be used under the guidance of a doctor.

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How to treat chronic urticaria?

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