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Dermatology

Hives (Urticaria) Assessment

For sudden, itchy, transient welts, possible causes are investigated and a monitoring plan is made.

What is it?

Hives present as itchy, raised lesions that usually move within hours. Short episodes may relate to infections, medications or foods; symptoms lasting longer than six weeks are assessed as chronic urticaria.

The visit covers duration and frequency of episodes, possible triggers and accompanying symptoms in detail. Necessary tests are planned and a treatment step aimed at controlling symptoms is set.

In chronic urticaria a cause cannot always be found, and the course varies from person to person. If you develop swelling of the lips or tongue, shortness of breath or difficulty swallowing, call 112 or go to the nearest emergency department without delay.

Who is it assessed for?

  • People with recurrent itchy welts
  • People whose symptoms last longer than six weeks
  • People with episodes of eyelid or lip swelling
  • People who notice a rash after a particular food or medication

Step by step

  1. 1

    Episode history

    Timing, duration and possible triggers of rashes are discussed.

  2. 2

    Photos

    Photos you took during episodes are reviewed together.

  3. 3

    Tests

    Blood tests are planned if needed.

  4. 4

    Treatment step

    A treatment and monitoring plan to control symptoms is made.

Questions

Are hives found through allergy tests?

Not always. In chronic urticaria allergy tests often do not show the cause; testing is decided based on history.

What if I have no rash during the visit?

Photos taken during an episode are very helpful for the assessment.

When should I go to the emergency department?

If you have tongue or lip swelling, trouble breathing or dizziness, call 112.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.