Nope, Hives and Eczema Are Not the Same Thing—Here’s How To Tell Them Apart

Telling hives vs eczema aside will be tough. Each are itchy pores and skin circumstances that stem from an immune system response. They usually can look related, too. “Hives and eczema can each trigger pores and skin to seem crimson and swollen. Consequently, individuals could mistakenly consult with hives as eczema and eczema as hives,” says Brendan Camp, MD, a board-certified dermatologist based mostly in New York Metropolis.

That stated, every have completely different underlying causes, and there are methods to inform them aside by taking a look at them. This is find out how to inform what you are coping with and find out how to discover reduction.

Causes of hives and eczema

Hives and eczema are primarily each allergic pores and skin circumstances, however every one works a little bit in a different way. So let’s break it down.

Causes of hives

Hives (aka, urticaria) are a pores and skin rash that pops up when one thing irritates your pores and skin. “They’ll develop in individuals as a part of an allergic response to an environmental allergen, medicine, meals, or underlying medical situation,” Dr. Camp says. They’re tremendous widespread: Round 20 p.c of individuals will get hives sooner or later of their lives, in response to UpToDate.com.

That is as a result of hives will be triggered by so many issues. This is an inventory of widespread culprits from the American School of Allergy, Bronchial asthma, & Immunology (ACAAI):

• Meals, particularly peanuts, eggs, nuts, and shellfish
• Drugs together with antibiotics, aspirin, and ibuprofen
• Insect stings and bites
• Bodily stimuli together with warmth, chilly, strain, train, or solar publicity
• Latex
• Bacterial or viral infections
• Pet dander
• Pollen
• Some crops
• Blood transfusions

Hives are normally short-lived, approaching shortly after you have been uncovered to an irritant and dissipating quickly after. “Hives by definition don’t final greater than 24 hours on the pores and skin. They could disappear in a single space and present up in one other, however a single hives lesion will normally resolve inside minutes to hours with out leaving any mark,” Dr. Camp says.

Causes of eczema

Eczema (additionally referred to as atopic dermatitis) is a situation that causes dry, itchy pores and skin. It is considered brought on by an overactive immune system that prompts the pores and skin to launch an inflammatory response when it is available in contact with an allergen or irritant, per the Nationwide Eczema Affiliation. “Eczema can happen in individuals with a genetic predisposition, characterised by impaired pores and skin moisture retention and a compromised pores and skin barrier,” says Dr. Camp.

Eczema is a power pores and skin difficulty, however stated allergens or irritants can set off a flare. Once more, there are a ton of doable culprits, however the Nationwide Eczema Affiliation says among the most certainly offenders embody:

• Dry air
• Excessive warmth or chilly
• Soaps, physique washes, bubble bathtub, and different personal-care merchandise
• Harsh laundry detergents or cleansing merchandise
• Wool or polyester cloth
• Added fragrances, like in scented candles
• Metals like nickel, typically present in jewellery or utensils
• Mud mites
• Stress

Eczema flares last more than hives. In response to the Nationwide Eczema Affiliation, it usually takes days or perhaps weeks for eczema-inflamed pores and skin to calm again down. There are additionally various kinds of eczema, with the commonest being atopic dermatitis, contact dermatitis, dyshidrotic eczema, and hand eczema, per the American Academy of Dermatology (AAD).

Signs of hives vs eczema

Each hives and eczema make your pores and skin crimson and itchy. However the similarities form of finish there.

In response to the ACAAI, hives:

• Are marked by reddish bumps that seem and fade out of the blue. (A person bump will disappear inside 24 hours.) They may look pinkish on truthful pores and skin or purplish on darker pores and skin.
• Itch
• Really feel easy to the contact
• Can seem anyplace in your physique and will fade and present up in several spots
• Flip white once you press on the middle

Eczema signs are fairly completely different. Per the Mayo Clinic, it causes:

• Swollen patches that could be crimson, pinkish, or purplish
• Small raised bumps on darker pores and skin
• Dry, cracked pores and skin that feels tough to the contact
• Itching
• Oozing, crusting, or weeping

Telling psoriasis vs eczema aside can be tough. However psoriasis will usually create dry, raised pores and skin patches (referred to as plaques) that look crimson or white and scaly, per the Mayo Clinic.

Remedy for hives and eczema

As soon as you have found out which situation you are coping with (you’ll be able to at all times see your dermatologist or primary-care doc if you happen to’re uncertain), you can begin taking a look at correct therapy. Generally it will contain dwelling cures for allergy symptoms, too, which can be inflicting your pores and skin response.

Remedy for hives

First issues first: Should you can work out what’s inflicting your hives, do what you’ll be able to to keep away from it, Dr. Camp recommends. (If it is a medicine, test together with your physician earlier than stopping it.)

For quick reduction, you’ll be able to apply a chilly compress, slather on an anti-itch lotion (like calamine lotion), or take an over-the-counter (OTC) antihistamine like Zyrtec, Claritin, or Benadryl. They will take down the irritation to alleviate the redness, swelling, and itching, says the AAD.

In case your signs are extreme or they hold coming again, your physician would possibly suggest a corticosteroid like prednisone or a prescription antihistamine. If these aren’t chopping it, an injectable biologic like omalizumab can assist, the AAD notes.

Remedy for eczema

Prevention is the most effective medication relating to eczema. That begins with preserving your pores and skin from getting too dry, which may result in irritation. “Sustaining a easy skin-care routine targeted on offering ample pores and skin moisture is crucial,” Dr. Camp says. That features taking quick showers or baths (lengthy ones dry out your pores and skin) and following up with a thick ointment or cream (slather on extra all through the day any time you are feeling dry), the Nationwide Eczema Affiliation recommends.

You may want extra assist once you’re flaring. Chilly compresses can calm delicate signs, however typically, “flares could also be handled with topical steroids or oral medicines like steroids or antibiotics,” Dr. Camp says. In case your eczema is extreme, your physician would possibly prescribe an injectable biologic or an oral immunosuppressant (like a JAK inhibitor) to maintain your signs below management, per the American Academy of Allergy Bronchial asthma & Immunology.

Stopping hives and eczema

You may’t at all times cease hives or an eczema flare, TBH. However being good to your pores and skin and avoiding triggers as a lot as doable makes a giant distinction for each.

In response to the ACAAI, ADA, and Cleveland Clinic, this stuff can assist:

• Put on free, snug cotton clothes: Tight garments make it tougher on your pores and skin to breathe. For eczema particularly, keep away from irritating materials like wool or polyester.
• Watch the temp: Attempt to keep cool and shaded on heat, sticky days—overheating and an excessive amount of solar can set off eczema or hives. Preserve your pores and skin coated if you happen to’ll be out in chilly or windy circumstances, too.
• Do not let your pores and skin dry out: This one’s principally for eczema. Once more, hold these showers or baths heat (not sizzling) and quick (suppose 5 to 10 minutes max), and be non secular about moisturizing.
• Resist the urge to rub or scratch: Each irritate your pores and skin and may make the issue worse.
• Determine your triggers and keep away from them: Everybody’s pores and skin responds in a different way to completely different triggers. Preserve a journal of your signs and the main points round how they occurred (Did your hives begin after consuming shrimp? Did your eczema flare up after a day on the seaside?) to determine what units your pores and skin off so you’ll be able to restrict your publicity as a lot as doable.

When to see a health care provider

There’s usually no have to stress a couple of one-off case of hives that goes away shortly. But when your signs hold exhibiting up and worsen over time, undoubtedly search assist. See a dermatologist in case your pores and skin is not responding to at-home or OTC therapies, or your rash is negatively affecting your high quality of life, Dr. Camp recommends. Collectively, you’ll be able to provide you with a plan to regulate the itch and really feel higher.

FAQ

Can stress trigger hives or eczema?

Completely. “Stress can exacerbate signs related to hives and eczema, particularly itching. Stress may set off the itch-scratch cycle, which may worsen signs and put pores and skin at elevated danger for an infection,” Dr. Camp says.

Then again, discovering methods to tame your stress can assist hold your pores and skin calm. You may usually have the ability to differentiate stress hives vs eczema if the rash fully goes away when you’re relaxed/as soon as the set off is gone.

How will you inform the distinction between hives and phone dermatitis?

Pores and skin rash variations will be robust to pinpoint. Two key issues to search for? First, take note of the feel. Hives are easy, whereas eczema is tough and scratchy. Second, see how lengthy your signs final. Whereas a case of hives can final for a pair days or longer, a single hive will disappear inside 24 hours, Dr. Camp says. (Circle it with a marker so you’ll be able to hold observe!) Eczema flares normally final for days or perhaps weeks. It is also doable to get hives that are not itchy, whereas contact dermatitis will seemingly at all times itch.

Are you able to develop eczema or hives as an grownup?

Eczema typically strikes in childhood, however it might additionally develop in maturity, significantly in your 50s. Grownup-onset eczema is extra more likely to occur on the backs of your knees, elbow crooks, again of the neck, face, or across the eyes, notes the AAD.