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InnovAiT 2008 1(7):474-480; doi:10.1093/innovait/inn081
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 Skin Problems (2). Volume 1, Issue 7....
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© The Author 2008. Published by Oxford University Press on behalf of the RCGP. All rights reserved. For permissions please e-mail: journals.permissions@oxfordjournals.org

Urticaria and angio-oedema

Dr Chantal Simon

Executive Editor, InnovAiT E-mail: chantal.simon{at}oxfordjournals.org


  Abstract

The term urticaria (also known as ‘hives’ or ‘nettle rash’) is widely used to describe a superficial swelling of the epidermis and mucous membranes that results in a red, raised, itchy rash that can be localized or generalized. This rash is described as weals. The rash may be localized or generalized and acute or chronic. Most patients with urticaria do not have systemic reactions, but allergic urticaria and some physical urticarias may occasionally progress to anaphylaxis. However, urticaria is often a feature of anaphylactic reactions. Angio-oedema is a deeper form of urticaria with swelling in the dermis and submucosal or subcutaneous tissues. It may occur alone, or concurrently with urticaria, affecting up to 50% of patients with chronic urticaria.


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