Idiopathic urticaria: the latest trends in diagnosis and treatment

Idiopathic urticaria
Irina Makarova
Author allergist
Irina Makarova
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What is idiopathic urticaria?

Idiopathic urticaria is a form of allergic disease characterized by the appearance of sudden, itchy rashes on the skin that resemble the marks of a nettle bite. Hence the name of the disease. Idiopathic urticaria can be acute or chronic. The acute form usually goes away within a few weeks, while chronic idiopathic urticaria can last for months or even years.

Causes of idiopathic urticaria

The word "idiopathic" in the name of the disease means that the cause is unknown. It is possible that the disease is related to a reaction of the immune system, which begins to attack the body's own cells. However, the causes of this reaction have not yet been determined. Idiopathic allergies can occur in people of any age, regardless of gender or general health.

Symptoms of idiopathic urticaria

Symptoms of idiopathic urticaria

The main symptoms of idiopathic urticaria are sudden, itchy rashes on the skin. There may also be general symptoms such as fatigue, headache, and fever. In some cases, there may be swelling of the skin in the area of the rash.

Diagnosis of idiopathic urticaria

To diagnose idiopathic urticaria, an allergist usually conducts a complete examination of the patient, including a history and physical examination. Additional tests, such as blood tests or skin tests, may be ordered to rule out other possible causes of the symptoms.

Treatment of idiopathic urticaria

Treatment of idiopathic urticaria

The mainstay of treatment for idiopathic urticaria are antihistamines, such as Cetirizine, Loratadine, Fexofenadine, and others, which help control itching and reduce skin rashes. 

In some cases, corticosteroids ("Prednisolone", "Hydrocortisone") may be prescribed, especially if the disease is severe.

Nonmedicamental methods

Nonmedicamental methods include regular moisturizing of the skin, avoidance of factors that may cause an exacerbation of symptoms (such as stress or contact with certain substances), and following a diet that limits foods that may cause an allergic reaction.

Some patients find relief from the symptoms of idiopathic urticaria through alternative therapies such as acupuncture, homeopathy, the use of herbs and dietary supplements. However, the effectiveness of these methods has not been scientifically confirmed, and they should not replace traditional treatments.

Prevention of idiopathic urticaria

Prevention of idiopathic urticaria

There is no specific prevention of idiopathic urticaria, since the causes are unknown. However, following a number of general recommendations can help reduce the risk of developing the disease or reduce the severity of its symptoms. These recommendations include a healthy lifestyle, a balanced diet, avoiding stress and avoiding contact with possible allergens.

In conclusion, idiopathic urticaria is a complex disease that requires a careful approach to diagnosis and treatment. If you have symptoms similar to those of idiopathic urticaria, you need to see a specialist. With the right treatment and adherence to skin care recommendations, most patients successfully manage this condition.

It is important to remember that self-treatment can be not only ineffective, but also dangerous. It is necessary to strictly follow the doctor's recommendations, and if new symptoms arise or the condition worsens - immediately seek medical help.


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