Chronic urticaria

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Urticaria is a skin disorder characterized by hives or wheals accompanied by itching. It is called chronic when it lasts 6 weeks or more. 

It may be due to immune-related causes (allergies, autoimmune diseases, etc.) and others that are not (cold, exercise, etc.). In addition to hives and itching of the skin, it may be accompanied by swelling of specific areas of the body, such as the face and tongue.

Diagnosis is clinical, by interrogation and physical examination.

Treatment is based on antihistamines and corticosteroids.

Bibliographic references
  1. Greaves M. Chronic urticaria. J Allergy Clin Immunol 2000; 105:664.
  2. Zuberbier T, Aberer W, Asero R, et al. The EAACI/GA²LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy 2018; 73:1393.
  3. Gaig P, Olona M, Muñoz Lejarazu D, et al. Epidemiology of urticaria in Spain. J Investig Allergol Clin Immunol 2004; 14:214.
  4. Kaplan AP. Chronic urticaria: pathogenesis and treatment. J Allergy Clin Immunol 2004; 114:465.
  5. Sabroe RA, Seed PT, Francis DM, et al. Chronic idiopathic urticaria: comparison of the clinical features of patients with and without anti-FcepsilonRI or anti-IgE autoantibodies. J Am Acad Dermatol 1999; 40:443.
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Welts / wheals on the skin


    Itchy skin


    Welts join together to form plaques


    Painful swelling


    Darker welts

Symptoms to watch out for

Inflammation of the tongue or throat
Difficulty breathing
Reduction in the level of consciousness
Vomiting

Self-care

Avoid exposure to the allergen (dust mites, pollen, fungi, animal fur, etc.).
Take antihistamines for itching.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Use sunscreen with SPF 30 or higher.