Hives vs Eczema Quiz

Hives: Hives are itchy, allergic rashes with red bumps, also known as urticaria. The causes are broad, ranging from foods and medications to viral infections and bee stings. In most cases, the rash disappears within 24 hours, however medical attention is needed if there is facial swelling or breathlessness.

Eczema: Eczema or atopic dermatitis is a chronic inflammatory skin condition where the immune system overreacts to triggers, leading to itchy, red, and dry skin. The direct cause remains unclear, but it is associated with genetic factors, a defective skin barrier, and environmental irritants such as allergens, soaps, and stress. It commonly begins in childhood and tends to affect people with a family history of allergies or asthma. Flare-ups may involve patches of scaly, cracked skin, especially on the hands, face, elbows, or behind the knees, often accompanied by intense itching.

Hives Specific Symptoms

• Raised, red or skin-colored welts
• Welts may change shape, move, or disappear within hours
• Sudden onset, often due to allergens (food, medication, insect bites)
• May be accompanied by swelling (angioedema)
• Skin returns to normal after the flare ends

Eczema Specific Symptoms

• Dry, scaly patches (often on elbows, knees, face, or hands)
• Chronic or recurring rash
• Thickened or cracked skin from repeated scratching
• Can ooze or crust in severe cases
• Triggered by irritants, stress, weather changes, or allergens

Hives Treatment Approaches

Treatment usually involves antihistamines to stop the allergic reaction. Severe cases (e.g. swollen lips and eyes or breathlessness) may require emergency medical care. It is important to identify and avoid the cause of the allergy in the future.

Eczema Treatment Approaches

Treatment focuses on reducing inflammation, relieving itching, and repairing the skin barrier. This includes the use of topical corticosteroids, calcineurin inhibitors, and moisturizers applied regularly. Antihistamines may help reduce itching, while antibiotics are used if a secondary bacterial infection develops. Identifying and avoiding triggers is key to managing flare-ups. In severe or resistant cases, phototherapy or systemic immunosuppressants may be considered.