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Patient information: A guide to hives

HIVES OVERVIEW

Hives, also known as "urticaria," is a condition that causes itchy, red skin welts. Hives can be triggered by an insect sting, food allergies, infections, taking a drug, or after touching something (eg, plants, latex, foods). Hives can also be triggered by cold temperatures, sweating, vibration, pressure on the skin, or even exercise.

Hives are usually raised, red welts on the top of the skin. The skin is usually very itchy, which may even keep you from sleeping. Most people have groups of welts, and the groups may join together to form a large raised area.

In some people with hives, the deeper layers of the skin can swell; this is called angioedema. Angioedema can cause puffiness in the face, eyelids, ears, mouth, hands, feet, or genitals.

Hives can develop suddenly and resolve without treatment, or can occur daily and last for years. In most people, hives will disappear over days to weeks. If hives do not go away, you may be given a drug to ease the itching.

UPTODATE HIVES AND ANGIOEDEMA RESOURCES

Patient information — UpToDate has articles for family members and patients with hives. These articles are available on the internet at www.uptodate.com/patients.

  (see "Patient information: Hives (urticaria)")

Premium subscription information — More detailed information is also available by subscription.

Hives (urticaria)

  (see "New onset urticaria: Epidemiology, clinical manifestations, and etiologies")

  (see "Physical urticarias")

  (see "Chronic urticaria: Standard management and patient education")

  (see "Bee, yellowjacket, wasp, and other Hymenoptera stings: Reaction types and acute management")

  (see "Cold urticaria")

  (see "Drug eruptions")

Angioedema

  (see "An overview of angioedema: Pathogenesis and causes")

  (see "Clinical manifestations and pathogenesis of hereditary angioedema")

  (see "Diagnosis of hereditary angioedema")

  (see "Prevention of attacks in hereditary angioedema")

  (see "Treatment of acute attacks in hereditary angioedema")

Last literature review version 18.2: May 2010
This topic last updated: October 14, 2009
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UpToDate performs a continuous review of over 440 journals and other resources. Updates are added as important new information is published. The literature review for version 18.2 is current through May 2010; this topic was last changed on October 14, 2009. The next version of UpToDate (18.3) will be released in November 2010.

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