Urticaria Treatment
Urticaria Treatment
They are temporary swellings that occur as a result of the fluid in the small blood vessels in the skin and mucosa (areas such as the inside of the mouth, lips, inner skin of the genital area, esophag...
What is Urticaria?
They are temporary swellings that occur as a result of the fluid in the small blood vessels in the skin and mucosa (areas such as the inside of the mouth, lips, inner skin of the genital area, esophagus) temporarily passing into the surrounding tissue. A rash does not last longer than 24 hours, but a new one may appear. It manifests itself as a raised, red, itchy 'nettle-like' rash on the skin. It is popularly known as 'hives'. Approximately 15% of people experience an urticaria attack at least once in their lives.
What Causes Urticaria?
The factors that most commonly cause urticaria can be listed as follows:
1.Drugs: Antibiotics such as penicillin, cephalosporin, acetylsalicylic acid (aspirin), non-steroidal anti-inflammatory agents (painkillers), ACE inhibitors, radiocontrast substances may trigger acute urticaria and prolong existing chronic urticaria.
2. Foods: Food-induced urticaria manifests itself within the first 1-2 hours after consuming food. Especially shellfish, fish, milk and dairy products, eggs, cheeses containing mushrooms, fruits (kiwi, banana, strawberry etc. walnuts), hazelnuts, peanuts, tomatoes, chocolate and spices can be counted among these.
3.Infections: Urticaria may occur with viral, bacterial and fungal infections.
4.Parasites: Parasite-related urticaria can be seen, especially in areas where parasitosis is common. Stool examination and treatment against parasites are given when necessary.
5.Stress: The relationship is especially evident with stress exacerbating urticaria.
6.Other Causes: Bee stings, vaccines, blood products, collagen tissue diseases, malignancies can be counted among the rarer causes.
What are the symptoms of urticaria?
Urticaria is characterized by raised, red, itchy urtica plaques on the skin that disappear before 24 hours. Urticaria has its own types. The most common classification is 'acute urticaria' and 'chronic urticaria', which are made according to duration.

Acute urticaria
Urticaria that lasts less than six weeks or recurs for less than six weeks is called 'acute urticaria'. It is a temporary form of urticaria that lasts shorter.
Chronic urticaria
The form of urticaria that lasts longer than six weeks or recurs at least three times a week for more than six weeks is called 'chronic urticaria'. It is the established form of urticaria that lasts longer.

Urticaria forms:
Angioedema: It is the form of urticaria that affects deeper tissues and mucosa. It is observed with symptoms such as swelling of the eyelids and lips, difficulty in swallowing, abdominal pain, and swelling in the genital area. Unlike itching in urticaria, burning and pain sensations are more prominent. While there may be accompanying urticarial plaques, angioedema may also occur alone. Angioedema manifests itself with difficulty in breathing, especially in cases of involvement of the trachea and tongue, and is included in dermatological emergencies. It is necessary to consult a doctor urgently.

Physical urticaria:
These are the types of urticaria that occur after physical stimuli such as heat, cold, pressure, exercise, solar radiation, and contact with water.
How is Urticaria Diagnosed?
The features of urticaria are typical and the diagnosis is easily made with clinical findings questioned by the physician. However, recurrence or chronicity of urticaria may cause anxiety in the patient. Although the presence of redness, swelling and itching lasting less than 24 hours is usually sufficient for the diagnosis of urticaria, laboratory tests have no place in the diagnosis. However, various tests can be performed to investigate the cause. Unfortunately, today, despite this, the etiological cause can be detected in approximately 35% of chronic urticaria cases. A detailed examination and history taken from the patient are very important to determine the cause.
Is There a Solution to Urticaria?
Urticaria is a disease that can be treated and controlled. The first step in the treatment of urticaria is to question triggers such as medication, infection, food, etc., and to stop triggers if a relationship is found.

Antihistamines: The main treatment agents we use in our daily practice in the treatment of urticaria are antihistamines. Successful results are obtained, especially when new generation antihistamines are used in appropriate dosage and duration.

Systemic steroids: Can be used for short periods in the treatment of resistant, widespread urticaria or angioedema.

Anti-IgE (omalizumab) antibody treatment: It is an antibody treatment administered by subcutaneous injection in patients with chronic urticaria that cannot be cured despite the use of antihistamines in sufficient doses and duration. It can be used by ages 12 and above.

Other treatments: Cyclopsporin and methotrexate are among the less commonly used resistant urticaria treatments.
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