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Hives Definition Hives is an allergic skin reaction causing localized redness, swelling, and itching. Description Hives is a reaction of the body's immune system that. You May Also Like. How to Treat Hives Naturally. Hives are red blotchy swellings on the skin, which are usually the result of an allergic reaction.
Hives (urticaria)HIVES OVERVIEW"Urticaria" is the medical term for hives. Hives are raised areas of the skin that itch intensely and are red with a pale center (picture 1). Hives are a very common condition.
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The most common cases of hives include rashes in the form of itchy red bumps on the skin’s surface as a result of one of many allergic reactions. The gray wolf is an endangered species. Its scientific name is Canis Lupus. There are about 8,000 wolves in Alaska. In the lower 48 states there are less than 3,000. DeviantArt is the world's largest online social community for artists and art enthusiasts, allowing people to connect through the creation and sharing of art. Every day, groups of all ages, sexual orientation, ethnicities and genders are attacked and called racial slurs on websites and social networks.
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About 2. 0 percent of people have hives at some time during their lives. Hives develop when there is a reaction that activates immune cells in the skin called mast cells. When activated, these cells release natural chemicals. One important chemical is histamine, which causes itching, redness, and swelling of the skin in an area: a hive.
In most cases, hives appear suddenly and disappear within several hours. Hives usually respond well to treatment, which includes medicines and avoiding whatever triggered the hives. More detailed information about hives is available by subscription. See "New- onset urticaria" and "Chronic urticaria: Standard management and patient education".)HIVES SYMPTOMSSkin appearance — Hives are raised areas that itch intensely and are sometimes red with a pale center (picture 1).
Hives are formed when blood plasma leaks out of small blood vessels in the skin. This leakage is caused by the release of a chemical called histamine.
In some cases, the raised areas enlarge and merge together (picture 2). Itching is usually the most bothersome symptom of hives and it may be severe enough to interfere with work and sleep. Severe pain, blood blister- like spots, and bruising of the skin are NOT typical of hives. Having hives along with a fever and joint pains is also NOT typical. These symptoms suggest a different condition called urticarial vasculitis, which requires a different treatment. See "Urticarial vasculitis".)Angioedema — In up to one- half of people with hives, a condition called angioedema also develops. Angioedema is similar to hives but occurs in the deeper layers of skin.
See "An overview of angioedema: Clinical features, diagnosis, and management".)Symptoms of angioedema include: ●Puffiness of the face, eyelids, ears, mouth, hands, feet, and genitalia●Swelling that usually affects one side of the body or affects one side more than the other●A sensation of fullness or discomfort in the area of the swelling●Slight redness of the skin, although the skin may also be normal in color. Hives as part of a serious allergic reaction — Hives can also occur as part of a more serious allergic reaction.
You should see a doctor or nurse as soon as possible if you develop hives or angioedema suddenly, along with other symptoms, such as: ●Trouble breathing●Tightness in the throat●Nausea or vomiting●Cramping abdominal pain●Passing out. TYPES OF HIVESHives are classified based upon how long you have the hives. Hives can be: ●Acute (brief)●Chronic (longstanding)●Physical (triggered by certain types of physical stimulation, such as heat, cold, or sun exposure)Of course, when you first get hives, you cannot tell how long they will last, and so you cannot tell if you have acute or chronic hives. Although all types of hives look similar, they often have different triggers.
Learning what triggers your hives can help you to avoid the trigger. Acute hives — Most cases of hives are acute and will not last beyond a few days to a week or two. Triggers of acute hives can include the following: ●Infections – Infections can cause hives in some people. In fact, viral infections cause more than 8. A variety of viruses can cause hives (even routine cold viruses). The hives seem to appear as the immune system begins to clear the infection, sometimes a week or more after the illness begins.
The hives usually persist for a week or two and then disappear.●Drugs – Many types of drugs can trigger hives, including antibiotics and nonsteroidal antiinflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen. See "Patient information: Allergy to penicillin and related antibiotics (Beyond the Basics)".)Painkillers (eg, codeine and morphine), muscle relaxants used in anesthesia, and intravenous (IV) contrast dye used in imaging procedures can also trigger hives.
See "Drug eruptions".)●Insect stings – Stings from certain insects (bees, wasps, hornets, fire ants) can cause hives around the area of the sting. See "Patient information: Bee and insect stings (Beyond the Basics)" and "Patient information: Imported fire ants (Beyond the Basics)".)If you get hives all over your body after an insect sting, this may be a sign of a more serious reaction called anaphylaxis.
Anaphylaxis must be treated as soon as possible. See "Patient information: Anaphylaxis treatment and prevention of recurrences (Beyond the Basics)".)●Food allergies – Food allergy can cause acute hives in some people. Food- associated hives typically appear within 3. The foods most likely to cause hives in children include milk, eggs, peanuts, other nuts, soy, and wheat. The foods most likely to cause hives in adults include fish, shellfish, peanuts, and other nuts.
See "Patient information: Food allergy symptoms and diagnosis (Beyond the Basics)".)●Physical contact – Hives can occur after you touch certain substances if you are allergic to them. For example, children who are allergic to dogs may get hives if a dog licks them. Other things that can cause hives (if you are allergic) include plants, raw fruits and vegetables, and latex (found in balloons, latex gloves, condoms, and other common items). Chronic hives — Chronic hives occur daily or almost daily and last longer than six weeks, sometimes for years. Chronic hives can be frustrating because they come and go and can interfere with sleep, work, or school. Hives affect how you look and people may worry about being near you for fear that you have a contagious infection. However, it is important to remember that: ●Hives are not contagious●Chronic hives are rarely permanent; almost 5.
Chronic hives are rarely caused by allergies and are not life threatening●The bothersome symptoms of chronic hives are treatable in most people. In most cases of chronic hives, the cause is unknown. Researchers suspect that problems in the immune system play a role.
Hives can be a sign of several other medical or autoimmune conditions, including thyroid or liver diseases, chronic infections, or lupus. Most people with one of these conditions will have other symptoms, apart from the hives.
Physical hives — Hives can be triggered by a variety of physical factors (see "Physical urticarias"): ●Exposure to cold – The hives often appear as the cold skin warms again. See "Cold urticaria".)●Changes in body temperature or sweating – These hives are often tiny and numerous and appear on reddened skin.●Vibration – Palms may become red, swollen, and itchy after holding onto the steering wheel of a car while driving.●Pressure – Hives on the palms or the soles of the feet can occur hours after carrying heavy objects or walking long distances. Because the skin on the palms and soles is thick, these areas may appear reddened and swollen without clear hives.●Exercise – Hives that appear during exercise can be a sign of a dangerous condition called exercise- induced anaphylaxis. See "Exercise- induced anaphylaxis: Management and prognosis".)●Sunlight or water – This is rare. See "Photosensitivity disorders (photodermatoses): Clinical manifestations, diagnosis, and treatment".)Finally, there is a common condition called dermographism (literally "skin writing"). People with this condition develop reddened, raised lines if the skin is stroked firmly or scratched.
Physical forms of hives tend to be long lasting and are considered a type of chronic hives. HIVES TESTINGMost people with hives do not need any testing. The diagnosis is usually based on their symptoms and a physical examination. However, tests may be recommended if hives do not resolve within six weeks. See "Chronic urticaria: Clinical manifestations, diagnosis, pathogenesis, and natural history".)Testing — Skin testing for food and drug sensitivities may be recommended if there are concerns about allergies as a cause of symptoms.
This is usually done for people with acute hives. Chronic hives are rarely caused by an allergy.
See "Patient information: Food allergy symptoms and diagnosis (Beyond the Basics)".)Blood tests are sometimes done if hives continue for several weeks. Blood tests can tell if there are signs of underlying diseases, such as liver or thyroid problems or an autoimmune disease. Skin biopsy — A skin biopsy (when a small sample of skin is removed) may help identify uncommon causes of hives. A skin biopsy may be recommended for people who have chronic hives along with other symptoms, such as persistent fever, painful hives, individual hives that last for days at a time, or hives associated with bruising of the skin. A skin biopsy may also be recommended for people who have other symptoms or abnormal blood tests.
HIVES TREATMENTHives are treated with a combination of avoiding things that cause or worsen the hives, plus the use of medications. Avoid triggers — The first treatment for hives is to figure out what is triggering the hives and then avoid that trigger. Even if you cannot figure out the trigger, hives usually disappear over days or weeks. Antihistamines — Antihistamines are medicines that can relieve itching. Most people with hives respond to antihistamines. You may need a relatively high dose or more than one type of antihistamine to control your symptoms.
There are two main types of antihistamines. They differ in side effects, cost, how long the medicine lasts, and need for a prescription.●Older antihistamines – Older antihistamines start to work quickly and work well to relieve symptoms. The problem with older antihistamines is that you have to take a dose four to six times per day, and many people have bothersome side effects. These can include drowsiness, dry mouth, double or blurred vision, or difficulty urinating. Some of these side effects interfere with driving and tasks requiring quick reactions, similar to the effects of drinking alcohol. These medicines are therefore not recommended for people who plan to drive, pilot aircrafts or boats, or operate heavy machinery, or for people whose job performance may be otherwise affected.