Urticaria Treatment in Hyderabad - Samatha Clinic

Urticaria appears as raised, well-circumscribed areas of erythema (redness) and edema (swelling) involving the dermis and epidermis that are very pruritic (itchy), as shown in the image below. Acute urticaria can be caused by allergic reactions to foods, drugs, cosmetics, or soaps, infections, insect bites, stings, or exposure, environmental factors, latex, undue skin pressure, cold, or heat; emotional stress, and exercise, among other factors.

Symptoms of Urticaria

  1. Precipitants, such as heat, cold, pressure, exercise, sunlight, emotional stress, or chronic medical conditions.
  2. Other medical conditions that can cause pruritus (usually without rash), such as diabetes mellitus, chronic renal insufficiency, primary biliary cirrhosis, or other non-urticarial dermatologic disorders

For acute urticaria, the main consideration involves possible precipitants, such as the following

  1. Recent illness

  2. Medication use

  3. New perfumes, hair dyes, detergents, lotions, creams, or clothes

Treatment of Urticaria

Management of urticaria is focused on treating the symptoms and typically is not altered by underlying etiology. The mainstay is avoidance of further exposure to the antigen causing urticaria. Pharmacologic treatment options include the following:

  1. Antihistamines, primarily those that block H1 receptors with low sedating activity, such as fexofenadine, loratadine, desloratadine, cetirizine, and levocetirizine are first-line therapy
  2. Omalizumab


Patients with chronic or recurrent urticaria should be referred to a dermatologist for further evaluation and management.

Consultation with or referral to a dermatologist, allergist, immunologist, or rheumatologist may be appropriate in selected cases, particularly in cases of complicated, recurrent, refractory, severe, or chronic urticaria. Dermatology referral is mandatory if urticarial vasculitis is suspected.