Welcome to HCM and thanks for your query.
I understand your concern and distress due to the chronic urticaria. If you have not been investigated, you should have laboratory investigations like routine blood test
, thyroid profile, etc. as well as special test autologous serum skin test. Management includes avoidance of precipitating factors, treatment of underlying disorders, and medicines. First line drug therapy is antihistamines, second line is doxepin, nifedipine, leukotriene-inhibitors or sulfasalazine
and third line is cyclosporine
, dapsone or colchicine
. So it would be good to have a systematic approach to this problem.
Dr. Noble Zachariah, Kuwait