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How to Manage Patch Urticaria: Symptoms, Causes, and Treatment

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Patch urticaria, also known as hives, is a common skin condition characterized by swollen, pale red bumps, patches, or welts that appear suddenly on the skin. These hives can be itchy, burn, or sting, causing discomfort to those affected. While hives can occur due to allergies, they can also be triggered by other factors such as stress, medications, insect bites or stings, sun exposure, cold temperatures, infections, and underlying medical conditions. Understanding the symptoms, causes, and treatment options for patch urticaria is essential for managing and finding relief from this condition.

Patch urticaria

Symptoms of Patch Urticaria

Patch urticaria manifests as raised, red, or skin-colored welts on the skin. These welts can vary in size from a pencil eraser to a dinner plate and may join together to form larger areas known as plaques. They can appear anywhere on the body, including the face, lips, tongue, throat, and ears. Hives can change size rapidly, moving around the body and disappearing in one place while reappearing in other areas, often within a matter of hours. The duration of hives can range from a few hours to weeks or even years, depending on the individual and the underlying cause.

In some cases, hives may be accompanied by a condition called angioedema. Angioedema is characterized by swelling that occurs beneath the surface of the skin, typically affecting the eyes, lips, genitals, hands, and feet. While hives usually fade within 24 hours, angioedema can last longer but usually resolves within a day. However, in rare cases, angioedema in the throat, tongue, or lungs can lead to a blockage of the airways, causing difficulty in breathing and requiring immediate medical attention.

Causes of Patch Urticaria

Patch urticaria can be triggered by various factors, and identifying the underlying cause is crucial for effective management. While allergies are commonly associated with hives, there are also non-allergic causes that can lead to the development of hives. Some of the common causes of patch urticaria include:

  1. Allergies: Allergic reactions to certain substances such as foods (peanuts, eggs, nuts, shellfish), medications (antibiotics, aspirin, ibuprofen), insect stings or bites, pollen, pet dander, and latex can trigger hives.
  2. Stress: Emotional stress or physical stress on the body, such as exercise or heat, can lead to the development of hives.
  3. Medications: Certain medications, including antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs), and blood pressure medications, can cause hives as a side effect.
  4. Infections: Viral or bacterial infections, such as the common cold, mononucleosis, strep throat, or urinary tract infections, can trigger hives in some individuals.
  5. Temperature Changes: Exposure to extreme temperatures, such as cold or heat, can induce hives in susceptible individuals.
  6. Underlying Medical Conditions: Hives can be a symptom of underlying medical conditions such as autoimmune disorders, thyroid disease, or vasculitis.

Identifying the specific trigger for hives can be challenging, especially in cases where the cause is not obvious. It may require a detailed history, physical examination, and in some instances, diagnostic tests conducted by a healthcare professional, such as skin tests, blood tests, or biopsies.

Treatment Options for Patch Urticaria

The treatment approach for patch urticaria depends on the severity, duration, and underlying cause of the hives. In mild cases, home remedies and over-the-counter treatments may provide relief, while severe or chronic hives may require medical intervention. Here are some treatment options for managing patch urticaria:

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1. Home Remedies

Home remedies can help alleviate the symptoms of patch urticaria and promote healing. These remedies are often accessible and can be easily incorporated into a daily skincare routine. Some effective home remedies for hives include:

  • Cold Compress: Applying a cold compress, such as a bag of frozen vegetables or ice wrapped in a towel, to the affected areas can help reduce itching and swelling.
  • Anti-Itch Bath: Taking a bath with soothing additives like colloidal oatmeal or baking soda can provide relief from itching and inflammation. These additives can be added directly to the bathwater and used as directed.
  • Skin Care: Using mild soaps and avoiding harsh chemicals or fragrances in skincare products can prevent further irritation of the skin. Applying moisturizers immediately after bathing can help soothe the itchiness associated with hives.
  • Temperature Regulation: Wearing lightweight clothing, protecting the skin from direct sunlight, and avoiding extreme temperatures can help minimize the occurrence of hives triggered by temperature changes.

2. Natural Remedies

Natural remedies are alternative treatment options that may provide relief for some individuals. It’s important to note that natural remedies are not regulated by the FDA, and their effectiveness may vary. Here are a few natural remedies that are commonly used for hives:

  • Witch Hazel: The natural tannins found in witch hazel can help reduce inflammation and relieve irritation. However, it’s essential to perform a patch test before applying witch hazel to the affected areas to ensure it does not cause any adverse skin reactions.
  • Aloe Vera: Aloe vera has anti-inflammatory properties and can be applied topically to soothe hives. It is generally well-tolerated, but it’s recommended to perform a patch test before using it extensively.

3. Over-the-Counter Options

Over-the-counter (OTC) treatments can be effective in managing the symptoms of patch urticaria. These products are readily available and can help alleviate itching and reduce the body’s histamine response. Some common OTC options for hives include:

  • Calamine Lotion: Calamine lotion can provide cooling relief and help alleviate itching when applied directly to the affected areas.
  • Antihistamines: Oral antihistamines, such as diphenhydramine (Benadryl), fexofenadine (Allegra), loratadine (Claritin), or cetirizine (Zyrtec), can help reduce itching and other allergy symptoms. These medications are available in various formulations and should be taken as directed.

4. Prescription Medications

In cases of severe or chronic hives, prescription medications may be necessary to manage symptoms effectively. These medications are typically prescribed by a healthcare professional and should be used under their guidance. Some common prescription options for patch urticaria include:

  • Corticosteroids: Corticosteroids, such as prednisone, can be prescribed for short-term use to reduce inflammation and provide relief from severe hives. Prolonged use of corticosteroids may have side effects, so they should be used cautiously.
  • Omalizumab: Omalizumab is a medication that is administered via injection under the skin. It is typically prescribed for individuals with chronic hives that do not respond to antihistamines. Omalizumab works by targeting and blocking the body’s immune response.
  • Dapsone: Dapsone is an antibiotic that can be used topically or taken orally. It can help reduce inflammation associated with hives caused by bacterial infections or other skin conditions. It should only be used as prescribed by a healthcare professional.
  • Leukotriene-Receptor Antagonists: Leukotriene-receptor antagonists, such as montelukast, can be prescribed for individuals who do not respond well to antihistamines or corticosteroids. These medications work by blocking the action of leukotrienes, which are compounds involved in the inflammatory response.

When to Seek Medical Attention

While most cases of patch urticaria can be managed at home, there are instances where medical attention should be sought. If you experience severe symptoms or any of the following signs, immediate medical attention is necessary:

  • Dizziness: Feeling lightheaded or dizzy may indicate a severe allergic reaction and requires immediate medical attention.
  • Swelling in the Throat or Face: Swelling in the throat or face can impede breathing and may be a sign of a potentially life-threatening allergic reaction. Emergency care should be sought immediately.
  • Difficulty Breathing: If you experience difficulty breathing, wheezing, or shortness of breath, it may indicate a severe allergic reaction. Seek immediate medical attention or call emergency services.

Preventing Patch Urticaria

Preventing patch urticaria involves identifying and avoiding triggers that may cause hives. While it may not always be possible to determine the exact cause, certain measures can be taken to minimize the risk of hives. Here are some preventive measures to consider:

  • Maintain a Healthy Lifestyle: Adopting a healthy lifestyle, including managing stress levels, getting regular exercise, and eating a balanced diet, can help reduce the likelihood of hives.
  • Avoid Known Triggers: If you have identified specific triggers that cause hives, such as certain foods, medications, or environmental factors, it’s important to avoid or minimize exposure to them.
  • Wear Protective Clothing: When engaging in activities that may expose your skin to potential triggers, such as gardening or outdoor activities, wear protective clothing to minimize contact.
  • Follow Medication Instructions: If you have a known allergy to certain medications, inform healthcare professionals and carefully follow their instructions to prevent the occurrence of hives.


Patch urticaria, or hives, can be a bothersome and uncomfortable skin condition. While the exact cause of hives can be challenging to determine, understanding the symptoms, triggers, and available treatment options is essential for managing and finding relief from this condition. Home remedies, natural remedies, over-the-counter options, and prescription medications can all play a role in alleviating symptoms and preventing further outbreaks. By following preventive measures and seeking medical attention when necessary, individuals can better manage patch urticaria and improve their overall quality of life.

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