Urticaria, commonly known as hives, manifests as itchy rashes characterised by redness and skin swelling, often resembling mosquito bites of varying sizes.
Examples of urticaria (hives)
When hives occur around loose tissue, such as the eyes or lips, leading to swelling in these areas, the condition is known as angioedema. 
Examples of angioedema
Urticaria can be categorised into acute and chronic.
Urticaria is a common condition that affects up to 20% of people at some point in their lives1. Chronic urticaria is most commonly caused by the immune system, usually resolving over time. However, it may take 6 months or longer for the condition to be resolved.
Source: 1American Family Physician
Acute urticaria is most commonly triggered by an infection, either viral or bacterial. It can also arise from food or drug allergies. Physical factors, such as cold, pressure, sweat, or sunlight, are rare causes.
Typically, tests are not required, but some children may require skin or blood tests if a trigger or underlying illness is suspected. As the appearance of urticaria may be similar despite all underlying causes, a thorough history of the timeline and pattern of exposure is most informative in guiding test selection, especially in cases of chronic urticaria.
Antihistamines are the preferred treatment for alleviating itchiness. Non-sedating antihistamines are first-line medications, reducing the number and frequency of urticarial flare-ups. Sedating antihistamines are helpful at bedtime as they may cause drowsiness; they are often combined with a non-sedating type during the day. Steroids like prednisolone are generally not recommended.
Consult a doctor for an accurate diagnosis before starting any medication.
Seek immediate medical attention for your child if:
