New research underscores challenges in managing chronic cases of this common skin condition

[Hinews] [Physician's Column] By Dr. Arin Lee, Freehug Korean Medicine Clinic Bucheon Branch.

More than 40% of South Korean adults experience urticaria, commonly known as hives, at least once in their lifetime, according to a recent report from the Korean Society of Skin Immunology. The finding highlights a widespread condition often dismissed as minor, despite its potential for serious complications.

Urticaria manifests as raised, itchy welts that appear suddenly on the skin, triggered by factors such as foods, medications, stress, or temperature changes. Most cases resolve within hours, but when symptoms persist beyond six weeks, the condition is classified as chronic urticaria.

Chronic urticaria, though visually similar to acute cases, is far more challenging to treat due to its prolonged duration and often elusive causes. This complexity frequently leaves patients and clinicians grappling for effective solutions.

Freehug Korean Medicine Clinic Bucheon Branch, Dr. Arin Lee
Freehug Korean Medicine Clinic Bucheon Branch, Dr. Arin Lee
Many individuals view hives as a temporary nuisance, resorting to home remedies, online advice, or over-the-counter medications without professional guidance. Such self-treatment often fails to address underlying causes, increasing the risk of symptom worsening or chronicity, researchers warn.In rare but severe cases, chronic urticaria can lead to anaphylactic shock, a life-threatening allergic reaction. Symptoms such as difficulty breathing, vomiting, dizziness, or cold sweats alongside hives demand immediate medical attention.

Dr. Arin Lee, from Freehug Korean Medicine Clinic’s Bucheon Branch, advocates a holistic approach rooted in traditional Korean medicine. This perspective views chronic urticaria as a reflection of internal imbalances, particularly the body’s impaired ability to eliminate toxins and combat pathogens.

Treatment focuses on restoring immune balance and organ function through personalized herbal prescriptions tailored to each patient’s constitution and organ system status. These are often combined with acupuncture, topical herbal applications, and phototherapy for comprehensive care.

The report emphasizes that public awareness remains inadequate, with too many patients relying on ineffective self-treatment methods that prolong suffering and complicate recovery. Medical experts urge those with persistent or severe hives to seek professional care to identify root causes and prevent long-term complications.

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