When a patient presents with a sudden outbreak of swollen, pale red plaques, often the symptoms represent a classic case of urticaria. Several modalities have been tried but most popular and effective treatment is found to be a treatment with antihistamines. Hardly a life-threatening presentation, urticaria requires detail investigation and treatment. Urticaria or hives are presented as a sudden outbreak of swollen, pale red plaques or wheals on the skin which itches.

The symptoms have been associated with allergic reaction to allergens or sometimes of unknown nature. Often angioedema is confused with urticaria, but clinicians should note that the location of inflammation in angioedema is in subcutaneous tissue, while in urticaria it is cutaneous. The urticarial presentation can appear anywhere on the body including the face, lips, tongue, throat and ears. The itching sensation can…