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What is Hive Rash?

Published in Dermatology 2 mins read

Hive rash, also known as urticaria, is a skin condition characterized by itchy, raised, red welts (wheals) on the skin's surface. Approximately 20% of people experience hives at some point in their lives.

These welts can vary in size and shape, and they may appear and disappear quickly, often within a few hours or days. While usually itchy, sometimes they can sting or burn. Hive rashes are often triggered by an allergic reaction but can also result from other factors.

Here's a breakdown of key characteristics:

  • Appearance: Red or skin-colored raised welts of varying sizes.
  • Itchiness: Generally, hives are very itchy.
  • Movement: Individual hives often disappear within 24 hours, but new ones may appear as older ones fade, making the rash appear to move around.
  • Angioedema: Sometimes accompanied by angioedema, which is swelling in deeper layers of the skin, especially around the eyes, lips, or genitals.

Common Triggers of Hive Rash:

While pinpointing the exact cause can sometimes be challenging, some common triggers include:

  • Food allergies: Common culprits include nuts, shellfish, eggs, and milk.
  • Medications: Antibiotics, NSAIDs (like ibuprofen), and ACE inhibitors are known to cause hives in some individuals.
  • Insect stings/bites: Reactions to insect venom can trigger hives.
  • Infections: Viral, bacterial, or fungal infections can sometimes lead to hives.
  • Environmental factors: Exposure to heat, cold, sunlight, or pressure on the skin.
  • Latex: Allergic reactions to latex can manifest as hives.
  • Stress: Emotional stress can sometimes trigger or worsen hive outbreaks.

When to Seek Medical Attention:

While many cases of hives resolve on their own, it's essential to seek medical attention if you experience any of the following:

  • Difficulty breathing or swallowing
  • Dizziness or lightheadedness
  • Swelling of the tongue, lips, or face
  • Wheezing
  • Hives accompanied by a fever

These symptoms could indicate a severe allergic reaction (anaphylaxis), which requires immediate medical intervention.

In summary, hive rash is a common skin reaction characterized by itchy, raised welts. While often triggered by allergies, various other factors can contribute. Recognizing the symptoms and potential triggers is essential for managing the condition effectively.

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