Who Gets Hives?
Hives, known in the medical literature as urticaria, are a localized itchy outbreak of the skin. In this essentially allergic reaction, the skin breaks out in bumps surrounded by elongated flares. These “hives” are referred to as wheals or welts. The welts tend to be pink except that they turn white when touched. Welts may coalesce into plaques covering substantial areas of skin. Hives are intensely itchy. They may involve any area of the body from the scalp to the soles of the feet, and appear in crops of 24- to 72-hour duration. The most common sites for outbreaks are the hands, feet, and face. Angioedema, a swelling below the skin caused by the same allergic mechanism, usually occurs around the eyes and in the lips. While the itchy bumps usually go away without treatment, angioedema in the upper respiratory tract may be life threatening and requires immediate medical attention. A survey of college students indicates about one in five people has hives at some point in life. They may