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Allergy & Clinical Immunology Unit
Hives can be triggered by a variety of substances, illnesses and other factors. No two cases are the same (although certain patterns emerge), and symptoms often are fleeting or intermittent. As a result, diagnosing the condition—especially when it persists more than two weeks—can be challenging.
When obvious causes have been ruled out (e.g. change in medication or introduction of a new food), we share the patient's medical history and details from his or her evaluation with scientists at our Clinical Immunological Laboratory. Here, we analyze each case meticulously, seeking to uncover any potential alternative root cause for the hives. Patients frequently are surprised to learn that many cases of chronic hives are not caused by underlying allergy.
Our expertise in hives, achieved through a collaborative approach, has earned us recognition as a referral center for this problem. Allergists and dermatologists throughout the Northeast regularly refer patients with particularly complicated cases to our program.
At your first appointment, you can expect an in-depth evaluation by one of our specialists. To diagnose your symptoms, we conduct a physical examination and also may perform:
After diagnosing your condition, we develop a customized care plan based on your medical history, symptoms and goals for treatment, and we introduce it in a highly structured manner. This typically involves closely monitoring your progress during follow-up appointments and adjusting your course of treatment as needed. Treatment may include prescribing clinically proven medications and explaining how to avoid or minimize exposure to substances or agents that result in hives.
Whether our patients visit our downtown Boston campus or Mass General West in Waltham, they receive state-of-the-art care from some of the foremost experts in allergy medicine and related specialties. Patients who have other allergies in addition to hives have access to our allergists who specialize in conditions such as asthma and angioedema.
Senior members of our physician staff have worked and studied with some of the pioneers in the field of hives and manage care for hundreds of patients annually. Together with other leading researchers, our clinicians and scientists have advanced the understanding of the behaviors and causes of hives and developed breakthrough treatments.
We treat all types of hives, including those associated with:
Additionally, we treat patients with chronic hives conditions, such as uritcarial vasculitis, and those who experience hives in conjunction with other allergies, such as asthma and angioedema.
Because they have treated so many varieties of hives and studied the condition extensively, our physicians excel at evaluating patients and assessing their symptoms quickly. As a result, patients can expect an expert diagnosis and a fast pathway to treatment, helping them to resume a healthy and comfortable lifestyle as soon as possible.
Although some cases of hives have no known cause, our allergy specialists are skilled in tailoring treatment plans for patients who experience such hives-related conditions. Additionally, we diagnose and manage care for patients when hives appear together with other problems (e.g. joint pain or weight loss) that may signal an underlying and potentially serious autoimmune disorder.
When patients experience symptoms that prove extremely difficult to diagnose, our physicians collaborate with other leading hives authorities in the national and international medical communities.
A full range of hives and allergy-related services are available at Mass General's downtown campus and at Mass General Waltham, including:
We are dedicated to preparing the next generation of great academic clinicians and basic scientists in allergy and immunology. Fellows in the Allergy and Immunology Training Program receive clinical and research training in hives and all other major conditions. Internal medicine residents also gain exposure to hives patients as part of their general training.
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