Urticaria

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About Urticaria

Urticaria is common, affecting up to 20 percent of the population. Urticarial lesions are intensely pruritic, circumscribed, raised, erythematous plaques, often with central pallor.
Urticaria is classified as acute or chronic. Acute urticaria is defined as periodic outbreaks of urticarial lesions that resolve within six weeks, and two-thirds of all urticaria falls into this category.
A presumptive trigger, such as common viral and bacterial infections, medications, food ingestion, or insect sting can sometimes be identified for new onset urticaria.
Occasionally, urticaria may be the presenting feature of another systemic disorder, such as urticarial vasculitis, mastocytosis, or systemic lupus erythematous. There are specific clinical features that should prompt an evaluation for these conditions.
The diagnosis of urticaria is made clinically. Uncomplicated urticarial lesions are pruritic cutaneous plaques which develop over minutes to hours, and resolve in hours without residual markings.