CHRONIC IDIOPATHIC URTICARIA

Hives (urticaria) that last for more than several weeks are considered “chronic”, and in almost all cases, do not have one specific cause (idiopathic). It is a common condition and affects at least 25% of the population at some time. Although it is uncomfortable, and cosmetically unacceptable, it is rarely dangerous. This office does see patients with this condition very frequently, and all patients can be helped.

NATURAL HISTORY OF CHRONIC URTICARIA

·        50% of cases resolve in 3-12 months

·        20% of cases resolve in 12-36 months

·        20% of cases resolve in 36-60 months

·        1.5% can persist for years

Even when symptoms disappear, at least 40% of patients can have recurrences.

ALLERGY EVALUATION

The doctors will take a careful history and examination to be sure the diagnosis is correct, and that there are not circumstances that require further investigation.

In a very few cases tests will be done to rule out rare causes. In most cases, however, this is not necessary. Please ask if you need an “allergy workup”.

TREATMENT

Fortunately, we have effective and safe medications to help your discomfort.  These are usually non-sedating anti-histamines, in various combinations, depending on the severity of your symptoms.  It is important to stay on the medications even after the hives seem to be controlled.  We will generally decrease the medications gradually to prevent the hives from recurring.