12/10/2026
What is the difference between acute and chronic hives?
Hives, also known as urticaria, are raised, itchy welts that can appear anywhere on the body and may change shape, move around and disappear within hours.
Acute hives last less than six weeks and often follow an identifiable trigger such as a viral infection, certain medications, food allergies or insect stings.
Chronic hives recur for six weeks or longer, often have no obvious external trigger and, unlike acute hives, are rarely caused by a specific food allergy.
Effective treatments are available, including non-sedating antihistamines, adjusted antihistamine doses under medical supervision and specialist treatments for persistent cases.
Hives that keep returning, interfere with sleep or do not respond to standard treatment may benefit from assessment by a consultant dermatologist. Urgent medical help is needed if hives occur with breathing difficulties or swelling of the tongue or throat.
📍 London Dermatology Centre, 69 Wimpole Street, London W1G 8AS