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  1. Introduction. Chronic urticaria (CU) is characterized by recurrent migrating skin lesions, called wheals or hives, angioedema (AE) or both lasting over 6 weeks. Wheals consist of a swelling area of different size and shape with a larger erythema, often pruritic. Lesions usually disappear in 24 h.

  2. The main treatment for acute urticaria in adults and in children is with an oral second-generation antihistamine chosen from the list below. If the standard dose (eg 10 mg for cetirizine) is not effective, the dose can be increased fourfold (eg 40 mg cetirizine daily).

  3. 20 sie 2024 · Urticaria, or hives (sometimes referred to as welts or wheals), is a common disorder, with a lifetime prevalence of approximately 20 percent in the general population [1]. A typical urticarial lesion is an intensely pruritic, erythematous plaque (picture 1).

  4. Urticaria in children is treated with a non-sedating antihistamine, such as cetirizine. This is not curative, but often controls the itch and the spread of weals until the urticaria settles on its own.

  5. Treatment Objectives. The actual strategy of CSU management is focused on complete or near-complete symptom control until the disease resolves spontaneously, with optimization of number of drugs and dosage needed to achieve control and maintain it.

  6. What is urticaria? Urticaria is characterised by very itchy weals (hives), with or without surrounding erythematous flares. The name urticaria is derived from the common European stinging nettle Urtica dioica. Urticaria can be acute or chronic, spontaneous or inducible.

  7. Urticaria is a common skin condition characterised by recurrent, transient, raised pruritic lesions (wheals), more commonly known as “hives”. Occurs due to transient extravasation of plasma into the superficial dermis, as a consequence of mast cell degranulation and histamine release.

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