Hives/Rashes/Eczema

Hives, also known as urticaria, affects about 20 percent of people at some time during their lives. It can be triggered by many substances or situations and usually starts as an itchy patch of skin that turns into swollen red welts. The itching may be mild to severe. Scratching, alcoholic beverages, exercise and emotional stress may worsen the itching.

Hives Symptoms

  • Raised itchy bumps, either red or skin-colored
  • “Blanching” (when pressed, the center of a red hive turns white)

Hives Triggers

  • Some food (especially peanuts, eggs, nuts and shellfish)
  • Medications, such as antibiotics (especially penicillin and sulfa), aspirin and ibuprofen
  • Insect stings or bites
  • Physical stimuli, such as pressure, cold, heat, exercise or sun exposure
  • Latex
  • Blood transfusions
  • Bacterial infections, including urinary tract infections and strep throat
  • Viral infections, including the common cold, infectious mononucleosis and hepatitis
  • Pet dander
  • Pollen
  • Some plants, such as poison oak and poison ivy

Hives Management and Treatment

  • Avoid known triggers
  • See an allergist, who will try to look for triggers to your hives and may recommend medications to prevent the hives or reduce the severity of symptoms. Whether the treatment is available only by prescription or over-the-counter will depend on several factors, including how uncomfortable the hives are making you.

Symptoms

Symptoms can last anywhere from minutes to months - or even years. While they resemble bug bites, hives (also known as urticaria) are different in several ways:

Hives can appear on any area of the body; they may change shape, move around, disappear and reappear over short periods of time. The bumps - red or skin-colored “wheals” with clear edges - usually appear suddenly and go away just as quickly.

Pressing the center of a red hive makes it turn white - a process called “blanching.”
There are two types of hives - short-lived (acute) and long-term (chronic). Neither is typically life-threatening, though any swelling in the throat or any other symptom that restricts breathing requires immediate emergency care.

Chronic hives occur almost daily for more than six weeks and are typically itchy. Each hive lasts less than 24 hours. They do not bruise nor leave any scar.

Therapies range from cool compresses to relieve itching to prescription antihistamines and other drugs, such as anti-inflammatory medications and medications that may modify your immune system.

Recently a new therapy, Xolair®, has dramatically improved and even cured chronic and severe hives.

Eczema

Atopic dermatitis is the most common type of eczema, a term used to describe an itchy rash. “Atopic” means a tendency to develop allergy conditions. An allergy occurs when someone reacts to things like mold and pollen that don’t affect most people. When people come into contact with something they are allergic to (called an allergen), they may have symptoms, such as an itchy rash. This is called an allergic reaction.

The most common symptoms are a red, itchy rash and dry and easy to irritate skin. Scratching or rubbing can make the itching and rash worse and even cause the skin to blister and ooze a clear or light yellow fluid. When this happens, the rash can become infected. Almost 50% of babies with atopic dermatitis have an allergy either to a food or environment.

Atopic dermatitis is most common in infants, but can also develop in children and adults. People are more likely to develop atopic dermatitis if:

  • They have asthma, hay fever, or food allergies
  • They have a parent who had or has asthma, hay fever, food allergies, or atopic dermatitis