Urticaria (hives Latin dioica or urticaria urens burn = urer), also called hives, is the most common disease of the skin. About 25 percent of the population has lived ever urticaria. The slight, but an acute form occurs already after touching a stinging nettle.
When it comes to a sudden urticaria itchy wheals on the skin or in various parts of the skin. Often occur simultaneously, but also alone - deep swelling of the skin, known as angioedema on. Symptoms are accompanied by strong persistent itching. Depending on the duration, disease course and trigger various forms of urticaria can be distinguished.
Possible triggers
Intolerance of bodily substances (so-called autoreactivity), the body fights itself
Chronic infections (eg hidden infections of the sinuses, the tonsils, gastro-intestinal tract or in the dental and oral).
Intolerance (hypersensitivity) against food additives (such as colors, flavors or preservatives) or drugs.
Allergies (rare trigger foods, pollen, animal hair)
Acute urticaria
About a third of urticaria patients suffering from an acute form of urticaria. This takes place smoothly, occurs suddenly out of nowhere and subsides after a few days or weeks. Can be triggered by infections, for example, painkillers or other drugs.
Chronic urticaria forms
Much more difficult for the physician and the patient are acute forms of urticaria lasting longer than six weeks and a day (continuous) or occur at intervals of several days (recurrent). The expert speaks in such cases of chronic urticaria. One such hives, wheals may occur in the / angioedema daily or weekly can be a variety of causes. While it is rare in acute urticaria after researching the exact cause, should be part of therapy for a chronic course of a thorough search for causes and underlying causes. It is known that chronic urticaria can last for years and sometimes decades, sometimes triggered by a serious underlying disease and often do not endure without the continued use of itch-suppressing medications.
Another group are the physical forms of urticaria. These include such diseases, in which symptoms occur only after exposure to certain physical stimuli. These stimuli can be caused by heat, cold, pressure or vibration.
What if `s itch
The treatment of urticaria is always determined by the triggering factor, and needs an expert who selects from the various treatment methods, the right one. The primary goal of treatment is the elimination or avoidance of the causal trigger. Of inflammation should be controlled or caused by an incompatibility with one of the hives are in the foreground of the trigger waiting for an infection, urticaria. Does not lead to the desired success, the symptoms of treatment comes into focus.
Depending on the acute or chronic urticaria different drugs are used. For acute urticaria stands alongside the use of antihistamines, cortisone, the active ingredient in the foreground.
In chronic urticaria is treated according to a certain level scheme. Depending on the severity of the symptoms are also antihistamines (also available in higher doses) are used. Sound, despite the complaints from administration of antihistamines are given Leukotrienenantagonisten antihistamines and possibly changed. In the next stage of treatment is also given a specific H2-antihistamines and the treatment with anti-IgE (omalizumab), cyclosporin A (suppresses the immune system) or dapsone (an antibiotic effective drug) added.
When it comes to a sudden urticaria itchy wheals on the skin or in various parts of the skin. Often occur simultaneously, but also alone - deep swelling of the skin, known as angioedema on. Symptoms are accompanied by strong persistent itching. Depending on the duration, disease course and trigger various forms of urticaria can be distinguished.
Possible triggers
Intolerance of bodily substances (so-called autoreactivity), the body fights itself
Chronic infections (eg hidden infections of the sinuses, the tonsils, gastro-intestinal tract or in the dental and oral).
Intolerance (hypersensitivity) against food additives (such as colors, flavors or preservatives) or drugs.
Allergies (rare trigger foods, pollen, animal hair)
Acute urticaria
About a third of urticaria patients suffering from an acute form of urticaria. This takes place smoothly, occurs suddenly out of nowhere and subsides after a few days or weeks. Can be triggered by infections, for example, painkillers or other drugs.
Chronic urticaria forms
Much more difficult for the physician and the patient are acute forms of urticaria lasting longer than six weeks and a day (continuous) or occur at intervals of several days (recurrent). The expert speaks in such cases of chronic urticaria. One such hives, wheals may occur in the / angioedema daily or weekly can be a variety of causes. While it is rare in acute urticaria after researching the exact cause, should be part of therapy for a chronic course of a thorough search for causes and underlying causes. It is known that chronic urticaria can last for years and sometimes decades, sometimes triggered by a serious underlying disease and often do not endure without the continued use of itch-suppressing medications.
Another group are the physical forms of urticaria. These include such diseases, in which symptoms occur only after exposure to certain physical stimuli. These stimuli can be caused by heat, cold, pressure or vibration.
What if `s itch
The treatment of urticaria is always determined by the triggering factor, and needs an expert who selects from the various treatment methods, the right one. The primary goal of treatment is the elimination or avoidance of the causal trigger. Of inflammation should be controlled or caused by an incompatibility with one of the hives are in the foreground of the trigger waiting for an infection, urticaria. Does not lead to the desired success, the symptoms of treatment comes into focus.
Depending on the acute or chronic urticaria different drugs are used. For acute urticaria stands alongside the use of antihistamines, cortisone, the active ingredient in the foreground.
In chronic urticaria is treated according to a certain level scheme. Depending on the severity of the symptoms are also antihistamines (also available in higher doses) are used. Sound, despite the complaints from administration of antihistamines are given Leukotrienenantagonisten antihistamines and possibly changed. In the next stage of treatment is also given a specific H2-antihistamines and the treatment with anti-IgE (omalizumab), cyclosporin A (suppresses the immune system) or dapsone (an antibiotic effective drug) added.
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