Urticaria Disease Summary

Last updated: 20 May 2025

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Overview

Urticaria is a predominantly mast cell-driven disease characterized by the appearance of wheals (hives) and/or angioedema, as defined in the Introduction section.  

Urticaria can occur at any age and affects 1% of the global population, with increased incidence noted in atopic patients. A detailed discussion about the prevalence of urticaria is in the Epidemiology section.  

The Pathophysiology section discusses in detail the involvement of mast cells and basophil activation leading to the release of vasoactive mediators (eg histamine, leukotrienes, prostaglandins) and localized capillary vasodilation. The development process of urticaria is in this section.

Different types of urticaria are enumerated and discussed in the Classification section. While discussion on the specific causes of acute and chronic urticaria is in the Etiology section.



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History and Physical Examination

The Clinical Presentation section describes the clinical features in the diagnosis of urticaria based on the patient’s History and Physical Examination.

Diagnosis

Routine lab testing is not indicated but may be considered in some patients with urticaria and is further discussed in the Laboratory Tests and Ancillaries section. Disease activity assessments are included in this section.

Other diseases that can present with the same symptoms as urticaria are listed in the Differential Diagnosis section.

Management

General therapy principles and management of urticaria are in the Principles of Therapy section.

The Pharmacological Therapy section discusses in detail the different therapeutic options in the management of urticaria. 

The Nonpharmacological section emphasizes the importance of patient education and avoidance of aggravating factors in the management of urticaria. Detailed discussion of these measures is in this section.

The Monitoring section includes assessment of disease activity and control in patients with urticaria.