Chronic idiopathic urticaria

Chronic idiopathic urticaria

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Urticaria or hives are defined as reddened, itchy bumps or welts on the skin. It is considered as a chronic type if it lasts more than 6 weeks and if the cause is unknown, it is called idiopathic.

Signs of chronic idiopathic urticaria

The usual indications of chronic idiopathic urticaria include:

  • Elevated or swollen reddened welts on the skin that lasts more than 6 weeks
  • Itchiness that is oftentimes severe
  • Swollen lips, throat or eyelids
    Chronic idiopathic urticaria
    Elevated or swollen reddened welts on the skin that lasts more than 6 weeks.

Management of chronic idiopathic urticaria

Generally, over-the-counter antihistamines are the initial line of treatment for the condition.

The non-drowsy antihistamines with only a few side effects include:

  • Loratadine
  • Cetirizine
  • Desloratadine
  • Fexofenadine

In case hives does not clear up with the over-the-counter antihistamines, the doctor might suggest one or more of these treatment options:

  • H2 blockers – these drugs block the release of histamine that triggers hives or excess production of stomach acid.
  • Immune suppressants
  • Short-term oral corticosteroids – these drugs work by reducing the swelling around the lips, eyes or throat that occur along with hives
  • Antidepressants
  • Monoclonal antibodies – this is considered as a highly effective treatment that is injected once a month


Chronic idiopathic urticaria is an undesirable condition but it is not considered dangerous. The treatment involving antihistamines or other drugs can clear it up, but it might recur if treatment is stopped.

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