Examples of urticaria (hives)
Examples of angioedema
Urticaria can be categorised into acute and chronic. Acute urticaria, the most common form in children, lasts less than six weeks, with fluctuations in size and location of the rashes. Chronic urticaria persists for over six weeks and is seen in both children and adults.
Although common, with up to 20% of people experiencing it at some point in their lives.1, the cause of chronic urticaria often remains unidentified, usually resolving over time—six months for most cases.
Source: 1American Family Physician
Acute urticaria is most commonly triggered viral infections and can also arise from food or drug allergies. Physical factors like cold, pressure, sweat or sunlight are rare causes.
Typically, tests are not required, but some children might require skin or blood tests if a trigger or underlying illness is suspected.
Antihistamines are the preferred treatment, aimed at alleviating itchiness. Non-sedating antihistamines are first-line medications, reducing the number and frequency of urticarial flare-ups. Sedating antihistamines, useful at bedtime, may cause drowsiness; they are often combined with a non-sedating type during the day. Steroids like prednisolone are generally not recommended.Seek immediate medical attention for your child if: