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Hives & Angioedema

Hives (urticaria) and angioedema are common allergic reactions that can cause significant discomfort and, in severe cases, life-threatening complications. These conditions can be acute or chronic and ...

📋Understanding Hives & Angioedema

Hives (urticaria) and angioedema are common allergic reactions that can cause significant discomfort and, in severe cases, life-threatening complications. These conditions can be acute or chronic and may have various triggers.

Hives & Angioedema information

Symptoms

Hives and angioedema symptoms can range from mild skin reactions to severe swelling that affects breathing and requires emergency treatment. Symptoms may develop rapidly and can be frightening for patients.

  • Raised, red, itchy welts on the skin (hives)
  • Swelling of deeper tissues (angioedema)
  • Itching, burning, or stinging sensation
  • Swelling of lips, tongue, and throat
  • Difficulty breathing or swallowing
  • Abdominal pain and gastrointestinal symptoms
  • Joint pain and swelling
  • Fatigue and general malaise
  • Anxiety and emotional distress

Symptoms may appear suddenly and can last from minutes to days. Chronic hives and angioedema may persist for weeks, months, or years, significantly impacting quality of life.

Diagnosis

Diagnosis of hives and angioedema involves a comprehensive evaluation to identify triggers, distinguish between acute and chronic forms, and rule out underlying conditions that may be contributing.

  • Detailed medical history and symptom timeline
  • Physical examination of skin lesions and swelling
  • Allergy testing for common triggers
  • Blood tests for autoimmune conditions
  • Thyroid function testing
  • C1 esterase inhibitor testing for hereditary angioedema
  • Skin biopsy for chronic cases
  • Evaluation of medications and supplements

Our comprehensive diagnostic approach helps identify the specific cause of your hives and angioedema, whether it's allergic, autoimmune, or related to other underlying conditions.

Treatment

Treatment for hives and angioedema focuses on relieving symptoms, preventing future episodes, and addressing underlying causes when possible.

  • Antihistamines for symptom relief and prevention
  • Corticosteroids for severe acute episodes
  • Epinephrine for life-threatening reactions
  • H2 blockers for additional symptom control
  • Leukotriene modifiers for chronic cases
  • Immunosuppressive medications for severe chronic cases
  • C1 esterase inhibitor replacement for hereditary angioedema
  • Trigger avoidance and lifestyle modifications

Treatment plans are personalized based on the frequency and severity of episodes, identified triggers, and individual response to different medications.

Prevention

Preventing hives and angioedema involves identifying and avoiding triggers, maintaining appropriate medications, and having an emergency plan for severe reactions.

  • Identify and avoid known triggers
  • Carry emergency medications (epinephrine if prescribed)
  • Wear medical alert jewelry
  • Maintain regular follow-up with allergist
  • Keep a symptom diary to identify patterns
  • Avoid medications known to cause reactions
  • Manage stress and maintain healthy lifestyle
  • Have an emergency action plan

Prevention strategies are most effective when implemented consistently and tailored to your specific triggers and medical history.

Frequently Asked Questions

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