Table of ContentsView AllTable of ContentsCholinergic Urticaria SymptomsCausesDiagnosisTreatment
Table of ContentsView All
View All
Table of Contents
Cholinergic Urticaria Symptoms
Causes
Diagnosis
Treatment
This article will explain the causes of and triggers for cholinergic urticaria. It will cover symptoms of cholinergic urticaria and how to treat the rash.
Cholinergic urticaria shares symptoms with other types of hives. Thesymptoms of hives, like cholinergic urticaria, include a rash. The rash is often different from other types of skin rashes, and has these characteristics:
In most cases, the rash will go awaywithin 24 to 48 hours. However, some people experience chronic symptoms.
“Urticaria"is the medical term for hives. Cholinergic urticaria is sometimes known as heat rash or heat hives.
If you experience one bout of cholinergic urticaria, you don’t need to seek diagnosis.But some people with the condition find that they developchronic hivesthat can be difficult to get rid of.
If you experience cholinergic urticaria frequently or the condition begins to impact your quality of life, reach out to a board-certifieddermatologist.
Keeping a journal of when you experience hives and what may have caused them can help you get to a diagnosis. Your healthcare provider may also conduct skin, blood, or urine tests to rule out other causes of the hives.
Treatment for cholinergic urticaria focuses on avoiding triggers.For example, you may need to scale back intense exercise, or skip hot baths. In addition, there are treatments for when hives strike and for controlling chronic hives.
Quick Relief for Cholinergic Urticaria
If you experience a bout of cholinergic urticaria, you can treat it withover-the-counter(OTC) andhome remediesfor hives. These include:
Treatment for Chronic Hives
Treatment for chronic hives usually centers on taking a daily dose of antihistamines.Your healthcare provider will help you find an antihistamine regimen that can ease your symptoms. This may include a high-dose antihistamine.
Some research has also shown thatDupixent (dupilumab), an injected medication used to treat eczema, can also help with chronic hives.A steroid called Danocrine (danazol) can improve chronic cholinergic urticaria.
Learn more about treating hives here.
Summary
The treatment for cholinergic urticaria is the same for other types of hives and includes cool compresses, antihistamines and avoiding triggers. Steroids and other medications can be used to treat chronic cholinergic urticaria.
A Word From Verywell
Identifying the cause of hives can be tricky. If you experience hives, jot down what may have caused them. This will help you identify and avoid your triggers, including activities that increase your body temperature and lead to cholinergic urticaria.
3 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American College of Allergy, Asthma & Immunology.Hives. 2018.Sirufo, Maria Maddalena, Alessandra Catalogna, Martina Raggiunti, Francesca De Pietro, Lia Ginaldi, and Massimo De Martinis.Cholinergic Urticaria, an effective and safe ‘off label’ use of dupilumab: A case report with literature review.Clinical, Cosmetic and Investigational Dermatolog.2022 doi: 10.2147/CCID.S343462.American College of Allergy, Asthma & Immunology.Persistent cholinergic urticaria. 2020.
3 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American College of Allergy, Asthma & Immunology.Hives. 2018.Sirufo, Maria Maddalena, Alessandra Catalogna, Martina Raggiunti, Francesca De Pietro, Lia Ginaldi, and Massimo De Martinis.Cholinergic Urticaria, an effective and safe ‘off label’ use of dupilumab: A case report with literature review.Clinical, Cosmetic and Investigational Dermatolog.2022 doi: 10.2147/CCID.S343462.American College of Allergy, Asthma & Immunology.Persistent cholinergic urticaria. 2020.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
American College of Allergy, Asthma & Immunology.Hives. 2018.Sirufo, Maria Maddalena, Alessandra Catalogna, Martina Raggiunti, Francesca De Pietro, Lia Ginaldi, and Massimo De Martinis.Cholinergic Urticaria, an effective and safe ‘off label’ use of dupilumab: A case report with literature review.Clinical, Cosmetic and Investigational Dermatolog.2022 doi: 10.2147/CCID.S343462.American College of Allergy, Asthma & Immunology.Persistent cholinergic urticaria. 2020.
American College of Allergy, Asthma & Immunology.Hives. 2018.
Sirufo, Maria Maddalena, Alessandra Catalogna, Martina Raggiunti, Francesca De Pietro, Lia Ginaldi, and Massimo De Martinis.Cholinergic Urticaria, an effective and safe ‘off label’ use of dupilumab: A case report with literature review.Clinical, Cosmetic and Investigational Dermatolog.2022 doi: 10.2147/CCID.S343462.
American College of Allergy, Asthma & Immunology.Persistent cholinergic urticaria. 2020.
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