Urticaria commonly referred to as skin hive is a kind of itchy rash notable as pale red raised and itchy bump.
It may be caused by
- Drug reactions(Medications, vaccines etc)
- Food, food additives and food preservatives
- Due to allergens coming in contact with skin
- Insect bite
Urticaria is a common problem, but not a severe problem. Yet some patients end up in an emergency department with breathing problems and anaphylaxis. It is a condition called Urticaria. It is characterized by transient skin or mucosal swellings due to plasma leakage. Superficial dermal bumps are wheals, and deep swelling of skin and mucosa are called Angio-oedema. Wheals are characteristically pruritic and pink or pale in the center. In contrast, Angio-oedema is often painful, less well defined, and shows no color change.
There are several clinical patterns and different causes. There could be an environmental allergy, autoimmunity like Thyroid problem, Drug intakes like pain killers, dietary pseudo allergens, and any kind of infection anywhere in the body like caries tooth. Many cases of spontaneous Urticaria remain unexplained what we call idiopathic, even after extensive evaluation.
Diagnosis is based primarily on history and clinical examination. Determination of the cause, or triggering factor as well as the exclusion of other diagnoses may require detailed investigation, which will be expensive but necessary.
Urticaria is a common disease that may cause considerable distress in the house, even for the professionals. But the symptoms can be reduced by appropriate management. You need to take medicine, which is known as an antihistamine for months and sometimes for years. There are different groups of antihistamines. Your doctor will select an antihistamine, which will take a minimum of 48 hours to give the desired response. If you don’t respond then your doctor will change the group of antihistamine.
Institute of applied dermatology also considers Integrative, management for this disease including Allopathy, Ayurveda, Homeopathy, and diet. Patient is effectively managed if necessary with counseling and yoga.