What is the treatment approach for urticaria?

The treatment approach for urticaria primarily involves the removal of the offending agent, if it can be identified, along with the use of antihistamines. Urticaria, commonly known as hives, is characterized by the presence of itchy, raised welts on the skin, which are a result of the release of histamine and other inflammatory mediators. Antihistamines work effectively to block the action of histamine, reducing itching and the formation of the hives.

In cases where an allergen or triggering factor is known, such as certain foods, medications, or environmental factors, avoidance is crucial in managing symptoms. If avoidance is not possible or if the cause is unknown, antihistamines are the first-line treatment to alleviate symptoms. In more severe cases or those that are resistant to standard therapy, additional treatments such as systemic corticosteroids, leukotriene receptor antagonists, or other therapies may be considered.

This approach is evidence-based and widely accepted in clinical practice for both acute and chronic urticaria.