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Chronic idiopathic urticaria isn't an allergy and isn't contagious. It's probably caused by a combination of factors. These may include environmental irritants, your immune system, and genetics. It can also be a response to a bacterial, fungal, or viral infection.
Chronic spontaneous urticaria (CSU) is the medical term for hives (the common term for urticaria) that are chronic (lasting six weeks or more, three to four times per week), and spontaneous (with no known trigger).
The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42.
With same ballpoint pen, diagnosis of delayed pressure urticaria can be done. Ballpoint pen is pressed firmly with firm pressure of two hands on right scapular bone for 90 s. Delayed cutaneous erythema and edema with subcutaneous swelling is observed after 4\u20136 h by the patient and reported to physician.
Most patients with urticaria can be treated at home with first- or second-generation H1 antihistamines alone or in combination with one another (ie, cetirizine uptitrated to 20 mg twice daily, diphenhydramine 50 mg q6h or 50 mg q6h for 24-48 h) In refractory cases, oral glucocorticoids can be added.

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Urticaria Activity Score The daily UAS is a sum of the daily Itch Severity Score (0 = none, 1 = mild, 2 = moderate, 3 = severe) and the daily Number of Hives Score (0 = none, 1 = between 1 and 6 hives, 2 = between 7 and 12 hives, 3 = greater than 12 hives), giving a range of 0 to 6 points per day.
Chronic urticaria (CU) is a disturbing allergic condition of the skin. Although frequently benign, it may sometimes be a red flag sign of a serious internal disease. A multitude of etiologies have been implicated in the causation of CU, including physical, infective, vasculitic, psychological and idiopathic.
The UCT is the first valid and reliable tool to assess disease control in patients with chronic urticaria (spontaneous and inducible). Its retrospective approach and simple scoring system make it an ideal instrument for the management of patients with chronic urticaria in clinical practice.
The UAS7 is a simple scoring system for you to evaluate your urticaria signs and symptoms. It is based on scoring. the wheals and itch separately on a scale of 0 to 3 over 7 days. Score both the wheals and itch according to the following criteria on a daily basis: Wheals.
Urticaria activity score is a useful tool for evaluation of urticaria. Complete blood count, Erythrocyte sedimentation rate and C reactive protein are important investigations for diagnosis of infections in urticaria. Autologous serum skin test is a simple office procedure for diagnosis of auto reactive urticaria.

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