It is a non- specific vascular response to a wide variety of stimuli. Acute urticaria presents with erythematous wheals, which may be associated with swelling of loose connective tissue(angioedema) affecting the lips, scrotum, larynx and trachea

Treatment:

1.     Soothing applications like cold water sponging and clearance of airway in case of laryngeal edema

2.     Tab Pheniramine maleate 25mg TDS for 1-2 weeks. In children 0.15 mg/dose 3or 4 times a day. The dose should be adjusted according to response and tolerance

3.     Tab Hydroxyzine 10-5 mg TDS

4.     Tab Cetirizine 10 mg OD

5.     In severe cases, antihistaminic can be started IV and once controlled, patient is maintained on oral preparations