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Treatment of urticaria (hives) in Vienna
Urticaria, also known as chronic hives, is a common but non-contagious skin condition that presents with large red skin swellings (also called wheals) and intense itching. These swellings can appear rapidly all over the body and just as quickly disappear. Those affected suffer particularly from this unpredictability of the disease, which severely restricts private and professional life and represents a significant psychological burden.
But what is urticaria? The condition (also called hives) manifests as transient wheals. These resemble the rashes that occur after contact with nettles. They appear very suddenly with intense itching, disappear after a few minutes or hours, and can later recur at another site on the body.
There are different forms: an acute hive lasts less than 6 weeks and is very common. Most often it is a reaction to a medication, an infection, or other triggers. Chronic urticaria persists longer and can either occur spontaneously, i.e. without an identifiable trigger, or have various causes. These include cold, heat, UV radiation, pressure (for example from carrying a handbag, etc.) or stress. Unfortunately, the exact cause is still not known to this day. One possible trigger is an infectious disease.
Please contact JUVENIS by phone at +43 1 236 3020, by e-mail at empfang@juvenismed.at or via the contact form, to arrange a consultation or treatment appointment.
One thing is the same across all forms: the underlying mechanism. Mast cells, a part of the immune system, release the messenger substance histamine, for example in the presence of an allergy. In urticaria, mast cells react abnormally and release excessive amounts of histamine, which leads to swelling of the skin and the formation of wheals.
Treatments & Therapies
Because of their unpredictability, it is difficult to demonstrate the symptoms during a doctor’s visit. Affected individuals should therefore be sure to photograph their flare-ups, note their extent and timing, and then present these to the doctor.
At the start of therapy, the search for the trigger is paramount in order to avoid it as effectively as possible.
Treatment regions
Treatment procedure
While an acute urticaria usually disappears quickly or short-term use of antihistamines helps, the treatment of chronic urticaria is pharmacological according to a three-step scheme that was newly defined in a guideline in 2018.
- Step: Use of a non-sedating antihistamine, once a day for about 2 weeks
- Step: Increase the dose up to fourfold over a period of 2 to 4 weeks
- Step: Injection of a medication under the skin, once a month
Long-term treatment achieves freedom from symptoms, but does not cure the disease; it only suppresses it. However, urticaria never lasts a lifetime — it appears completely spontaneously and goes away just as spontaneously. Unfortunately, the duration is very variable: in its acute form less than 6 weeks, in the chronic form rarely longer than 5 years.
Costs
| Treatment | Price |
|---|---|
| Initial consultation – Urticaria | € 190 |
Alternative and complementary treatments
New medication for urticaria
Here you will find a report from a patient in whom a new medication from the group of biologics against urticaria was used by Dr. Tamara Kopp. How successful this medication is against urticaria in this patient can be read here:Patient report
FAQs
Urticaria is a skin condition that is characterized by the sudden appearance of wheals, redness and severe itching characterized. The skin changes can disappear within hours but may recur.
Typical signs are:
itchy wheals on the skin
redness and swelling
Burning or a feeling of tightness
Occasional swelling in the facial area (angioedema)
The symptoms can vary in severity.
The causes can be diverse, including:
allergic reactions
infections
stress or psychological strain
Cold, heat, or pressure on the skin
Certain foods or medications
In many cases, the exact cause remains unclear.
The main types are:
acute urticaria (Duration under 6 weeks)
chronic urticaria (longer than 6 weeks)
physical urticaria (e.g. triggered by cold or pressure)
The treatment depends on the cause and course and may include:
antihistamine medications
anti-inflammatory therapies
targeted investigation of possible triggers
individual treatment plans for chronic urticaria
The goal is to to relieve itching and to control symptoms in the long term.
In most cases, Urticaria is harmless, but very unpleasant. In cases of severe swelling in the face or neck area, prompt medical evaluation should be sought.
At the beginning, a detailed dermatological examination and medical history, to identify possible triggers. An individual treatment plan is then created.
Acute Urticaria often resolves on its own. Chronic forms can persist longer but can be managed with the right treatment well controlled and significantly improved.
You can reduce your symptoms by:
Avoiding known triggers
stress reduction
Gentle skin care
Avoiding irritating substances
Depending on the therapy, side effects may occur, which will be discussed in detail beforehand. The treatment is individually adapted to make it be as well tolerated as possible as comfortable as possible.
The costs depend on the extent of diagnostics and therapy. An initial urticaria consultation costs € 190.
The Exact prices will be provided in a personal consultation..
Since this is a medical treatment, a (partial) coverage of costs by the health insurance is often possible.
At JUVENIS you will be cared for by experienced specialists in dermatology cared for. Through targeted diagnostics, modern therapies, and individually tailored treatment plans, a long-term control of symptoms and a significant improvement in your quality of life aimed for.
We have answered the most frequently asked questions on the topic of Urticaria – Hives answered. If you have any further questions, please feel free to contact us via empfang@juvenismed.at or at +43 1 236 3020.
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