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Hives

Hives

Description

Hives (urticaria), the most common form of allergic response, is a skin reaction. It is characterized by intense itching, most notably due to the rapid onset of wheals. Hives are a symptom of an allergy involving only the dermis.

Urticaria is a self-limiting disease with no known cure. Therefore, treatment is towards the symptoms. This may involve identifying and avoiding the allergen, antihistamines and/or corticosteroids (for more severe cases).

Causes

Primary Factors
The primary cause of hives is an allergy-producing substance which causes mast cells to release histamine and other vasodilative drugs.

Predisposing Factors
Any allergy-producing substance
Food dyes
Molds
Bacteria
Animal dander or hair
Insect stings
Stress
Viral infections, especially hepatitis
Drugs such as aspirin or desensitization shots
Heredity enzyme deficiencies
Water (aquagenic urticaria)
Cold (cold-induced urticaria)
Heat (heat-induced urticaria)
Sunlight (light-induced urticaria)
Vigorous exercise (cholinergic urticaria)

Signs & Symptoms

Sudden outbreak of red or white wheals, either isolated or over the entire body
Difficulty breathing if allergy has led to swelling in the respiratory tract
Intense itching
Fatigue
Fever
Nausea
Erythema
Edema

Nutritional Supplements

Structure & Function:
        Immune System Support &
        Antioxidants


---------------------------------
General Supplements
---------------------------------

AdultChild/Adolescent
Beta Carotene*
Bromelain 5 - 10 mg 2 - 5 mg
EPA 4 - 8 g 2 - 4 g
Magnesium*
Niacin*
Vitamin B12*
Vitamin C1,000 - 3,000 mg 500 - 2,000 mg
Vitamin E 600 - 800 IU 200 - 400 IU




* Where amounts are not specified please refer to the text.

Note: All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.

Dietary Considerations

Hives may be a symptom of food allergies. Foods that commonly trigger urticaria are: shellfish, strawberries, nuts, and food additives. Medications such as penicillin can also produce urticaria. The offending substance or substances can be identified by using the Elimination Diet.

Two classes of related substances frequently causes urticaria in sensitive individuals: the salicylates and the tartrazines.

Salicylate, a chemical, naturally occurs in fruits. Methyl salicylate is sold as a flavoring agent under the name "wintergreen" or "teaberry."

Tartrazine is used as a food coloring under the name "yellow no. 5." It is found in various foods, including cola drinks and candy, and also as a filler in medication.

Diets for persons allergic to salicylates and/or tartrazine should be based on the following guidelines:

Bread and cereal exchange list

Recommended
Pastas
Rice
Most breads (see ingredients label)

Avoid
Potatoes
Commercially prepared cake mixes
Commercially prepared rolls
Breakfast cereals

Fruit exchange list

Recommended
All fruits not noted below

Avoid

AppleOrangePeach
PlumCherryGrapefruit
GooseberryApricotBlackberry
BoysenberryGrapeLemon
MelonNectarinePrune
RaisinRaspberryStrawberry



Meat and meat substitute exchange list

Recommended
Fish
Red meat
Poultry
Cheese
Egg

Avoid
None

Milk exchange list

Recommended
All

Avoid
None

Fat exchange list

Recommended
All fats except almonds

Avoid
Almonds

Vegetable exchange list

Recommended
All vegetables not noted below

Avoid

CucumbersGreen pepperBell pepper
TomatoTobasco pepper



Miscellaneous exchange list

Recommended
None

Avoid
Cola drink
Root beer and other soft drinks
Wintergreen-flavored candies and gums
Commercially prepared pies
Commercially prepared puddings

Homeopathic Remedy

Hives - urticaria

Advanced , by symptom:

1. Swollen lips and eyelids- Apis Mellifica.
2. Itchy blotches, usually hands- Urtica urens.



Hives (chronic)

1. Icthyolum- 15C

Treatment Schedule

Doses cited are to be administered on a 3X daily schedule, unless otherwise indicated. Dose usually continued for 2 weeks. Liquid preparations usually use 8-10 drops per dose. Solid preps are usually 3 pellets per dose. Children use 1/2 dose.

Legend

X = 1 to 10 dilution - weak (triturition)
C = 1 to 100 dilution - weak (potency)
M = 1 to 1 million dilution (very strong)
X or C underlined means it is most useful potency

Asterisk (*) = Primary remedy. Means most necessary remedy. There may be more than one remedy - if so, use all of them.

References

Boericke, D.E., 1988. Homeopathic Materia Medica.

Coulter, C.R., 1986. Portraits of Homeopathic Medicines.

Kent, J.T., 1989. Repertory of the Homeopathic Materia Medica.

Koehler, G., 1989. Handbook of Homeopathy.

Shingale, J.N., 1992. Bedside Prescriber.

Smith, Trevor, 1989. Homeopathic Medicine.

Ullman, Dana, 1991. The One Minute (or so) Healer.

Herbal Approaches

----------
Herbs
-----------


Aloe vera gel
Cayenne (Capsicum annuum)
Chamomile
Ginger
Tea tree oil

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Discussion:

Aloe vera gel or Chamomile, applied topically, may provide symptomatic relief. A Ginger bath has also been recommended.

Cayenne pepper (Capsicum frutescens) may be effective by depleting substance P, thereby providing pain control.

Tea tree oil may be useful if an infection should occur.


Aromatherapy - Essential Oils

Chamomile Essence,Yarrow Essence.


Related Health Conditions

Allergy
Edema
Fatigue
Fever
Hereditary enzyme deficiencies
Itching
Stress

Abstracts

References

Allison, J.R.: The relation of hydrochloric acid and vitamin B complex deficiency in certain skin diseases. South. Med. J. 1945, 38: 235-241.

Alpers, D.H., R.E. Clouse & W.F. Stenson. 1983. Manual of Nutritional Therapeutics. Little, Brown, and Company, Boston. 457 pp.

Amoroso A et al., Hashimoto's thyroiditis associated with urticaria and angio-oedema: disappearance of cutaneous and mucosal manifestations after thyroidectomy. J Clin Pathol, 1997 Mar, 50:3, 254-6.

Barashnev, I. & I.N. Rozova. Role of Vitamin B-6 in Treating Children with Hives. Vopr. Pitan., 4. 1979.

Bekier, E. & Maslinski, C.Z.: Antihistaminic action of nicotinamide. Agents Actions, 1974, 4(3): 196.

Berkow, R. 1977. The Merck Manual. Merck Sharp and Dohme Research Laboratories Pub., Rahway, New Jersey. 2165 pp.

Black AK: The pathogenesis of urticaria. Keio J Med, 1997 Mar, 46:1, 37-9.

Britt H et al., Clinical incidents in general practice. Prescription errors. Aust Fam Physician, 1996 Oct, 25:10, 1609-10.

Castillo R et al., Food hypersensitivity among adult patients: epidemiological and clinical aspects. Allergol Immunopathol (Madr), 1996 May-Jun, 24:3, 93-7.

Chasroff, I.J. & J.W. Ellis. 1983. Family Medical Guide. William Morrow and Company Inc., Pub. 594 pp.

Dawe RS & Ferguson J: Prolonged benefit following ultraviolet A phototherapy for solar urticaria. Br J Dermatol, 137:144-8, 1997 Jul.

Emmons L et al., Primary care management of common dermatologic disorders in women. Pharmacologic considerations. J Nurse Midwifery, 1997 May-Jun, 42:3, 228-53.

Fox RW: Update on urticaria and angioedema (hives). Allergy Proc, 1995 Nov-Dec, 16:6, 289-92.

Haas, P.J. Modification of Itching and Erythema and Wheals of the Skin. Fortschr. Med., 101. 1983.

Harris A et al., Solar urticaria in an infant. Br J Dermatol, 136:105-7, 1997 Jan.

Hautekeete, M.L. et al: Chronic urticaria associated with celiac disease. Lancet, 1986, 2: 1157-1158.

Heinerman, John. 1982. Herbal Dynamics. Root of Life, Inc.: Publ.

Hunziker T et al., Comprehensive hospital drug monitoring (CHDM): adverse skin reactions, a 20-year survey. Allergy, 1997 Apr, 52:4, 388-93.

Johnson, G.J. & H.S. Gilbert. Long-Term Treatment of Systemic Mastocytosis with Histamine Antagonists. American Journal Of Gastroenterology, 74. 1980.

Juhlin, L.: Additives and chronic urticaria. Ann. Allergy, 1987, 59(5 Pt 2): 119-123.

Kanerva L et al., Statistical data on occupational contact urticaria. Contact Dermatitis, 1996 Oct, 35:4, 229-33.

Kano Y et al., Time-course analyses of exercise-induced lesions in a patient with urticarial vasculitis. Australas J Dermatol, 1996 May, 37 Suppl 1:, S44-5.

Kato T Exercise-induced urticaria and angioedema: reports of two cases. J Dermatol, 1997 Mar, 24:3, 189-92.

Kulp-Shorten CL & Callen JP Urticaria, angioedema, and rheumatologic disease. Rheum Dis Clin North Am, 1996 Feb, 22:1, 95-115.

Kunz, J. Am. Med. Assoc. Family Med. Guide. Random House Pub, NY 832 pp.

Kvaerner KJ et al., Otitis media: relationship to tonsillitis, sinusitis and atopic diseases. Int J Pediatr Otorhinolaryngol, 1996 Apr, 35:2, 127-41.

Luke, B. 1984. Principles of Nutrition and Diet Therapy. Little, Brown, and Co., Boston. 816 pp.

Lunardi, C. et al: [Prevalence of food allergy in patients with urticaria-angiodema syndrome.] G. Ital. Dermatol. Venereol. 1990, 125(7): 319-322.

Maher J: Urticaria and angioedema. A simple approach to a complex problem. Lippincotts Prim Care Pract, 1997 May-Jun, 1:2, 172-82.

Mahmood T: Urticaria. Am Fam Physician, 1995 Mar, 51:4, 811-6.

Margolis, S. 1984. Food allergies - Nutritional Management: The Johns Hopkins Handbook. M. Walser, A.L. Imbembo, S. Margolis and G.A. Elfert, eds. W.B. Saunders Co., Philadelphia.

Medeiros M Jr: Aquagenic urticaria. J Investig Allergol Clin Immunol, 1996 Jan-Feb, 6:1, 63-4.

Mekori YA et al., Introduction to allergic diseases. Crit Rev Food Sci Nutr, 1996, 36 Suppl:, S1-18.

Muresan, D. et al.: Investigations of magnesium, histamine and immunoglobulins dynamics in acute urticaria. Arch. Roum. Pathol. Exp. Microbiol. 1990, 49(1): 31.

Murray, M.T., & J.E. Pizzorno. 1991. Encyclopedia of Natural Medicine. Rocklin, Ca; Prima Publishing.

O'Donnell BF et al., The impact of chronic urticaria on the quality of life. Br J Dermatol, 1997 Feb, 136:2, 197-201.

Oehling A et al., Skin manifestations and immunological parameters in childhood food allergy. J Investig Allergol Clin Immunol, 1997 May-Jun, 7:3, 155-9.

Pennington, J. 1978. Nutritional Diet Therapy. Bull Publishing Co., Palo Alto, Ca. 106 pp.

Perry CA et al., Health effects of salicylates in foods and drugs. Nutr Rev, 1996 Aug, 54:8, 225-40.

Pollitt, N.: Beta-carotene and the photodermatoses. Br. J. Dermatol. 1975, 93: 721.

Rappaport, E.M.: Achlorhydria: associated symptoms and response to hydrochloric acid. NEJM. 1955, 252(19): 802-805.

Rosenberg, W.: Vitamin C deficiency as a cause of urticaria. Arch. Dermatol. Syphilol. 1938, 37: 1010-1014.

Sabroe RA & Greaves MW: The pathogenesis of chronic idiopathic urticaria. Arch Dermatol, 133:1003-8, 1997 Aug.

Schlossberg D et al., Fever and rash. Infect Dis Clin North Am, 1996 Mar, 10:1, 101-10.

Sharma, S.C. & W.M. Wilson. Cellular Interaction of Ascorbic Acid with Histamine and the Immediate Hypersensitivity Reaction. International Journal Of Vitamin Nutrition Research, 50. 1980.

Simon, S.W. & Edmonds, P. : Cyanocobalamin (B12): comparisons of aqueous and repository preparations in urticaria: possible mode of action. J. Am. Ger. Soc. 1964, 12: 79-85.

Simon, S.W. : Vitamin B12 therapy in allergy and chronic dermatoses. J. Allergy, 1951, 22: 183-185.

Strom et al: Shingles, allergies, family medical history, oral contraceptives, and other potential risk factors for systemic lupus erythematosus. Am. J. Epidemiol. 1994 Oct; 140(7): 632-42.

Supramaniam, G. & Warner, O.: Artificial food additive intolerance in patients with angio-edema and urticaria. Lancet, 1986, 2: 907-909.

Sveum RJ: Urticaria. The diagnostic challenge of hives. Postgrad Med, 1996 Aug, 100:2, 77-8, 81-4.

Swain,. A. et al: Salicylates, oligoantigenic diets, and behavior. Lancet, 1985, 2: 41-42.

Vinuya, R.Z et al: Elevated serum tryptase levels in a patient with protracted anaphylaxis. Ann. Allergy. 1994 Sep; 73(3): 232-4.

Volcheck GW & Li JT Exercise-induced urticaria and anaphylaxis. Mayo Clin Proc, 1997 Feb, 72:2, 140-7.

Wyngaarden, J.B. & L.H. Smith. 1985. Cecil's Textbook of Medicine. Saunders Pub Co., Philadelphia. 2341 pp.

Yamada K et al., A case retaining contact urticaria against egg white after gaining tolerance to ingestion. Acta Paediatr Jpn, 1997 Feb, 39:1, 69-73.