Table of Contents
- Hives facts
- What are hives (urticaria) and angioedema? What do hives look like?
- What causes hives and angioedema? Are hives contagious? Does stress cause hives?
- What are the different kinds of hives?
- What are the signs and symptoms of ordinary hives?
- What are the risk factors and causes of ordinary hives?
- What are the causes of chronic hives?
- Are there other conditions that mimic hives?
- What specialists treat hives?
- What is the treatment for hives?
- What is the prognosis of hives?
Quick GuideRosacea, Acne, Shingles: Common Adult Skin Diseases
What are the signs and symptoms of ordinary hives?
Ordinary hives flare up suddenly and usually for no specific reason. Welts appear, often in several places. They flare, itch, swell, and go away in a matter of minutes to hours, only to appear elsewhere. This sequence may go on from days to weeks. Most episodes of hives last less than six weeks. Although that cutoff point is arbitrary, cases of hives that last more than six weeks are often called "chronic."
What are the risk factors and causes of ordinary hives?
As noted above, many cases of ordinary hives are "idiopathic," meaning no cause is known. Others may be triggered by viral infections. A few may be caused by medications, usually when they have been taken for the first time a few weeks before. (It is uncommon for drugs taken continuously for long periods to cause hives or other reactions.) When a medication is implicated as a cause of hives, the drug must be stopped, since testing is rarely available to confirm the cause. In most cases, drug-induced hives will go away in a few days. If a drug is stopped and the hives do not go away, this is a strong indication that the medication was not the cause of the hives.
Some medications, like morphine, codeine, aspirin, and other nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen [Advil]), cause the body to release histamine and produce urticaria through nonallergic mechanisms.
Despite the reputation of hives being an "allergic" condition, there is often no obvious connection to any provoking substance. In this situation, random allergy testing is not usually helpful. If you know what is causing your hives, then avoiding the cause, if possible, is a very good preventive option.
Bernstein, Jonathan A., et al. "The Diagnosis and Management of Acute and Chronic Urticaria: 2014 Update." J Allergy Clin Immunol 133.5 May 2014: 1270-1277.
Criado, Paulo Ricardo. "Chronic Urticaria in Adults: State-of-the-Art in the New Millennium." An Bras Dermatol 90.1 (2015): 74-89.
Fine, Lauren M., and Jonathan A. Bernstein. "Urticaria Guidelines: Consensus and Controversies in the European and American Guidelines." Curr Allergy Asthma Rep 15 (2015): 30.
Langley, Emily W., and Joseph Gigante. "Anaphylaxis, Urticaria, and Angioedema." Pediatrics in Review 34 (2013): 247-258.