Stating that hives can appear and disappear in a short time, it is a disease that should not be taken lightly, affecting the quality of life physically and psychologically. Nilsu Salih shared important information about this disease, which is more common in the spring months. Drawing attention to the importance of determining the factors that cause the disease, Uzm. Dr. Nilsu Salih said, “Various medications, infections, stress, some foods, allergens taken through the respiratory tract, insect bites and accompanying systemic diseases can cause hives (urticaria). Hives can be controlled by identifying the factors that cause the disease and avoiding them, and with appropriate medical treatments when necessary, ”he said.


Explaining that hives are red or skin-colored, itchy skin disease in which many small or large blisters (rash) are observed. Dr. Nilsu Salih said, “Between 15 and 25 percent of people have an acute rash attack at least once in their lifetime. In some people, edema (swelling) in soft tissues such as eyelids and lips can be seen with hives. The most typical feature of hives is that they have very itchy, swollen, red rashes and disappear without a trace within 24 hours. However, new rashes may continue to appear in different parts of the body during the attack ”.


Explaining that hives are observed in two different clinics as acute and chronic hives, Uzm. Dr. Nilsu Salih continued as follows:

“Acute hives, hives that lasted less than 6 weeks. It is usually caused by medications, infections, and foods. While the most common cause in adults is drugs, it develops as a result of upper respiratory tract infections or other infections in the body in children. Food-borne acute hives in children are mostly triggered by foods such as milk, eggs, wheat, nuts and seafood, and its incidence decreases with age. It can also develop due to plant contact, insect bites, etc. There is no need for routine diagnostic tests in acute hives. Chronic hives, unlike acute hives, a table of hives lasting longer than 6 weeks. It is most common between the ages of 20-40 and is seen twice as often in women compared to men. It affects about 1 percent of people. Chronic hives are classified under two headings as chronic urticaria and chronic inducible urticaria according to the underlying causes.

Expressing that the most basic symptom of the disease is skin rash, Uzm. Dr. Salih says, “Itchy, skin-colored or red, swollen rashes that disappear within 24 hours are typical. It can be seen all over the body. It is not contagious, ”he said.


Underlining that a dermatology specialist should be consulted for the diagnosis and treatment of hives, Uzm. Dr. Salih made the following warnings:

“Factors that may trigger or exacerbate hives should be avoided. If it is not possible to reach a dermatologist in the first episode of hives or in cases of edema and shortness of breath (angioedema) in the lips, around the eyes, which are observed with hives, the emergency service of the hospitals can be applied. Antihistamines to be taken regularly for several weeks in acute hives help reduce rash and itching. Antihistamine selection and daily dose are arranged according to the severity of the disease and whether the person has additional disease. Systemic antihistamines or short-term systemic steroids (cortisone) administered intravenously can be added to the patients who do not improve despite the appropriate dose of antihistamine treatment. Treatment for chronic hives is slightly different from acute hives. Treatment is determined by the severity of the disease.

Antihistamines can be used longer and at higher doses. Different systemic agents such as montelukast, cyclosporine, omalizumab can be used in the treatment. Chronic hives can seriously affect daily life. It can lead to stress and depression. Stress can also worsen hives, creating a vicious circle. Patients experiencing symptoms of depression should definitely consult a specialist. “

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