re: Trendy diagnosis

The cause of urticaria is rarely identified. Antihistamines, steroids, immunosuppressants, xolair(in chronic urticaria) are the treatment of choice. Allegra 180mg every morning and Zyrtec 10mg every night without skipping a dose of either. Do this religiously. An IM steroid injection may give her some relief as well. I'll do this for 3-4 was and if still having outbreaks then add doxepin. Doxepin is a trycilic antidepressant that has very strong antihistamine properties. If this fails we consider methotrexate, I haven't had very good luck with this drug and urticaria unfortunately. Xolair has showed promise in treating chronic urticaria but it is very expensive.