Q&A: virus-caused hives

Amy writes:

"My 23 month old son has been battling hives for the last 2.5 weeks.  At a bad day, he'll have hives starting from his scalp all the way to the bottom of his feet and everywhere in between.  On a good day, he will have 3-4 patches on his stomach and groin area.  The doctor thinks this is due to a viral infection and put him on oral steroids and Benadryl - the steroids worked for a few days, but now the hives are back full force.  Because it's viral, there's not much we can do except just wait it out.  The doctor says it may take up to 6 weeks for it to completely subside!  (If it doesn't subside at that point, they'll start running some tests.)  Needless to say, the poor little guy is miserable and itchy and clingy, and I feel terrible about giving him Benadryl over and over again. 

Have you or any of your readers dealt with this?  Any home remedies to relieve the itching?"

I've got exactly nothing, except oatmeal baths. I might also try some kind of elimination diet to make it easier for his system to cycle through the virus and hives. (I'd cut wheat, and maybe dairy.) Readers?

Comments

[hush]

How about calamine lotion to help relieve the itching? I'm itching just reading about your plight. You & your little one totally have my sympathies & best wishes for a speedy recovery.

[Melissa]

I'd second cutting out wheat for a few days to see if that helps at all. My neighbor's daughter turns 2 next week and all through summer and fall she had a horrible itchy rash on the back of her neck. They thought for awhile it was just a heat rash but then they cut wheat out of their diet and it went away. As an experiment she gave her daughter some homemade bread recently and the rash came the next morning.

Wheat is a very common allergen for young ones, though something they almost all grow out of!

[Anna]

I don't have kids but I do have autoimmune hives. Do they make children's zantac? Zantac is a histimine II blocker and with the histimine I blocker it will help control them more. Otherwise, oatmeal baths are really the only thing.

I'd go see another doctor, like a dermatologist. Mostly because I can't imagine myself suffering for 6 weeks with hives, forget about a 2 year old. Yup, that's my advice and ask about a histimine II blocker.

[m]

How terrible! Poor little guy.

I don't have much to offer except seconding the calamine and perhaps getting a second opinion, too.

Good luck!

[caramama]

I also think that a dermatologist might be a good idea. I'm a big believer in specialists because they really do know their stuff, while GPs and pediatricians have to know a bit about everything.

Oatmeal baths and oatmeal paste has always been my home remedy of choice.

Good luck getting through this!

[Lea]

I just have to say that my heart goes out to you and your little guy. My son has hives off and on when he's exposed to an allergen, and they are HORRIBLE. I can't imagine dealing with that endlessly. We use Benadryl, but I know it's hard to use that constantly for such a long time.

I don't have any advice except to suggest the elimination diet as well or to go see a naturopath/homeopath to see if there's a way they can help to naturally help his body detox/heal. His body is sending a strong signal that something is wrong, and steroids are just going to mask that. Of course, the struggle is to determine exactly what is bothering him. Unfortunately, a dermatologist or another medical doctor is unlikely to find the cause - they will just want to medicate to suppress the reaction, which doesn't solve the root cause. In my experience, a natural doctor is more likely to be able to help, and sometimes there can be many things contributing to an outbreak such as this.

Good luck to you both. Lots of good thoughts and well wishes being sent your way.

[Amy]

Benedryl makes a cream that might provide more localized relief... I make my own oatmeal bath - 1/3 cup oatmeal (straight out of the cardboard tube Quaker Oats), 1/3 cup powdered milk, and 1/3 cup baking soda. The baking soda softens the water, the milk and oatmeal are soothing. Put the whole mess in the blender and puree the heck out of it until it's really smooth, otherwise it's a mess to clean out of the tub. I use my Magic Bullet blender, and it works great. It's way cheaper than Aveeno, too.

The rash probably doesn't feel as bad as it looks.

Amy @ http://prettybabies.blogspot.com

[Amanda]

I've used Children's Zyrtec successfully for my toddler's hives. We first tried Benadryl, but remembering to dose it multiple times a day was a pain (and missed doses so the hives came back). After a week or so the hives went away for him and didn't come back 6-8 months. And you might be able to give him both Zyrtec and supplement with Benadryl (I have to do that sometimes with my allergies.)

If it might be something he's allergic to that's topical (soap, scents, detergent, creams, etc.), I suggest reading The Beauty Bible or www.cosmeticscop.com since the author lists a lot of ingredients that are common and not so common allergens.

We never did figure out the cause of our toddler's hives (2-3 times per year). But given that I have allergies, he'll probably have them too - he already has two traits that correlate with allergies (according to ped) - keratosis pilaris and very long eyelashes.

[jill]

I had hives for about a year straight once. I now believe it was part of an autoimmune disease I now know I have. I would go in for some testing to make sure it really is "just a virus".

I took a lot of Zyrtec or Allegra, plus prednisone. That's all that helped. Sorry, it SUCKS.

[Kate]

@ Amanda: my son has KP also, and my ped (who is of Irish descent and also had it) said it comes of being fair-skinned. I'd never heard of it in connection to allergies. Hmm, interesting.

[strangeafoot]

My son has gotten a rash at the tail end of a virus twice so I know what you are going through. Both times we had all these allergen suggestions from folks, but it really was a virus that was going around. I used a topical OTC cream, Benedryl at bed times only, and lots of oatmeal baths. Good luck.

[hedra]

Doctor as in pediatrician, or doctor as in allergist? If the former, don't just assume he's right if it is carrying on over an extended period of time. Go to a pediatric allergist. POFAK.org's message boards can point you to a good one in your area.

Miss M had unexplained hives. Hers turned out to be cold-induced urticaria. It's actually from getting warm, not cold (or rather, temp change to warmer after cooler). She would get layers upon layers of them - take her out of the house to the car, in the car (warming up) she'd sprout some, then out into the cold and into a store, she'd sprout another bunch; then repeat on the way home. Miserable. If it carries on at all past the normal margin for viral reaction (which is an allergic reaction to the virus protiens that are breaking down, if I recall correctly), an allergist should look. Extensive hives can be food allergy, environmental, immune/autoimmune/viral, or even just 'histamine reactive system' like Miss M.

Someone here pointed out that cold-induced hives can end up in cold-induced asthma, so it is worth being on top of.

For the itching, they recommended topical stuff unless it was a huge outbreak (then benadryl, for her - they just weren't extensive enough to be worth bigger effort - she was outgrowing by the time she was diagnosed), oatmeal baths were fine, but since she tended to transition from hives to eczema, we were treating for eczema instead. Different methods at that point. If they're getting to the dried and uncomfortable skin level, frequent THIN layers of aquaphor very lightly applied (no rubbing) after short, mild, frequent baths.

[Jill in Atlanta]

Amy, start a journal of what you treat him with and the amount of hives each day. As someone who had hives for the better part of a year (I have more in common with jill than just our names!) I found that I lost track of what I'd tried and for how long. I never did find out what caused them or what made them go away, but they just stopped finally. Be careful with the predisone- nasty side effects. I also agree with Zyrtek- better than Benadryl.

[Katie B.]

Interesting about the KP - that explains a lot about my skin. I also have very long eyelashes... and no severe allergies. This makes me wonder about that ped's info - or maybe it's just that there's a correlation?

[lynn]

Similarly, our doctor recommended Claritin for hives instead of Benedryl, because it's 24 hour and non-drowsy. But my daughter's hives didn't last more than a week or so. Good luck!

[Nancy]

BabyB has sensitive skin, and awhile back after a flu bug she broke out in hives. The pedi said that wasn't an uncommon way for an illness to finish up, particular with sensitive skin. The skin is the largest "organ" in the body. Fortunately hers cleared up after a day and didn't bother her.

Hope your little guy feels better soon!

[Badger]

My two kids just got over chicken pox. We found good old zinc oxide worked somewhat well. We did oatmeal baths (warm, not hot) which helped. We also put the colloidal oatmeal into a bandana, submerged it in water, and dabbed it on each really itchy spot. The older one could use it herself and so I think she felt like she could do _something_ to help her poor itching. We also did calamine, but I didn't think it helped at all. My kid has a paradoxical reaction to Benedryl, so we didn't use that. (As an aside my mom used to put toothpaste on our itchy spots! Not recommended but funny...!)

[Badger]

My two kids just got over chicken pox. We found good old zinc oxide worked somewhat well. We did oatmeal baths (warm, not hot) which helped. We also put the colloidal oatmeal into a bandana, submerged it in water, and dabbed it on each really itchy spot. The older one could use it herself and so I think she felt like she could do _something_ to help her poor itching. We also did calamine, but I didn't think it helped at all. My kid has a paradoxical reaction to Benedryl, so we didn't use that. (As an aside my mom used to put toothpaste on our itchy spots! Not recommended but funny...!)

[Jill]

We battled hives for months, and it turned out to be red dye plus some preservatives, which won't show up in allergy tests. Make sure you are giving him the dye free benadryl, and if you think that may be it, check his vitamins and other foods for red dye.

Good luck. It is an awful thing to deal with, and the virus idea is the first thing they suggest and in my experience isn't usually the case.

[Moxie]

Badger, I read that as putting colloidal oatmeal in a *banana* and was soooo confused...

[Salexuel]

Ha ha! I read it as "banana" the first time too and thought "how do you do *that*???"

[Jeannie]

I was allergic to red food colouring as a kid which gave me hives all over the place. Any Benadryl or other allergy stuff just made it worse as it was invariably coloured pink... also, the hives flared up worse when I had a cold or other sickness slowing down the immune system. I grew out of it eventually.

[Kira]

OMG! My son is also 23 months an is going through the EXACT same thing. I have not read any of the other comments, so I am sorry if I am repeating.

I had to go to the emergency room one morning because of swelling and the doctor treated it with steroids and Benadryl. Then I went to a follow up appointment with my doctor and she was upset that the emerg doctor told me that it was a virus (especially because the most common way to treat an allergy is steroids and benadryl!) Her thought process is "How do you know it is a virus until you check to see if it is an allergy?" To me this made sense. This was the most common sense way to deal with it. She told me to cut out all wheat, gluten and dairy. I will not lie, it is difficult, ESPECIALLY with the holiday season right on us. My thought is that whatever will help him, I will deal with the tantrums etc (because I will not give him crackers, cookies, cakes, etc). Within 48 hours, his skin was clear, the diarrhea stopped (that was another symptom that he had). He was a whole new boy. I wasn't going to go all out with taking all three things away from him at first, but I changed my mind and figured if things didn't change within a few days, the I would give it up. So now that things are so good with him, I am waiting to go see an allergist until I re-introduce anything back in his diet. Just on Tuesday I gave him mashed potatoes (that had milk and butter in it) and he broke out into a rash. Yuk! I thought because there was so little in the potatoes and I was only giving him a small amount that it would be okay. That will teach me!

Anyway, that is my situation. It wouldn't hurt cutting things out of his diet, even one at a time to see if it could be anything he is eating.

Good luck!

(sorry for all the grammatical or spelling mistakes, I don't have time to do a preview!)

[Christinamarie]

I have been suffering from hives since May. DH and I found out we were expecting in August, baby due in March. That being said, I can completely relate to your little one's plight, and your likely hesitation to put him on meds if you don't have to. This condition has caused me to quit my dream job and has put me in the ER 3 times with my throat closing. My quality of life has really suffered both financially and otherwise because of this, and has turned my life as I knew it inside out. As we speak I look like Will Smith from the movie Hitch after he got stung by the bee. ;) My lips are twice the size they usually are, my eyes are swollen almost completely shut and I'm so itchy I wish I could crawl out of my skin.

Anyway, most Drs (including allergists, and derms) will tell you that 90% of the time you will never know what is causing it, and they will do everything under the sun to treat the symptoms. My problem with this is that oftentimes, the hives are symptom of an underlying problem, which goes undiagnosed because they're constantly trying to treat the hives thinking its a lost cause to figure out why they're happening in the first place.

Anything lasting over 6 weeks is considered Chronic Idiopathic Urticeria. The important thing to look out for is vasculitis. Are the hives going away? In other words, if you took a pen and outlined a specific hive would it be in the same place tomorrow? If not, thats a good thing. Are any of the hives turning into little purple bruises that don't go away? If so, that is vasculitis and is a sign that the hives COULD be something deeper, which would need looking into, and testing done. If you press on the hive does it turn white and then back to pink again? If so, thats good too.

I actually was just at the dermatologist again today because my eyes/lips/throat had swollen to the point where I was having trouble breathing. If it does turn out to be CIU, please don't beat yourself up trying to figure out what to eliminate / steer clear of because its not an allergy, its a problem with mast cells and his immune system. That was the hardest part of this for me to understand, I walked around constantly wondering if there was something I was doing to cause this-and if its chronic and you have done all you can to eliminate all of the possibilities of what it could be, allow yourself the sanity of not becoming overwhelmed by it. In other words, its hard not to believe that its an allergy to something. If its CIU, it simply isn't an allergy, its the immune system attacking itself, constantly being afraid to wash his clothes or feed him dinner will send you to the nut house if in fact he is dealing with CIU.

I would love to say that one treatment or pill will take it away but quite simply, this is an extremely hard thing to treat and diagnose properly. Before becoming pregnant I was on a low dose of prednisone which helped, but it has a ton of side effects that I wasn't thrilled about. I am on a ton of antihistimes (which I'm also not thrilled about) and they usually keep the hives to a dull roar. Currently the cocktail of the week is Benadryl, Claritin, Zyrtec, and Zantac. For the record, I'm taking all of this under the close supervision of my midwife and my dermatologist, the way they see it, if I don't live my baby doesn't live and breating is essential to life. If you do the oatmeal bath thing, I found that if you use rolled Irish oats, and PUT IT IN A T-SHIRT (tie the tshirt in a knot) and then submerge it into the tub it works much better. :) Lesson learned after getting out of a sticky tub covered in hives and oats trying to unclog my drain. I swear, I really do know how to tie my own shoes in the morning and everything. LOL.

If there is anything I can do to help please feel free to email me personally, I've actually not heard of a lot of other people having this and info of any kind is great to have, and I'm actually relieved (in a manner of speaking) to see that I'm not the only person in the world who has gone through this. FWIW, I am not allergic to *anything* no animals, nothing environemental, no food allergies...nothing. I found all of this out after becoming the human pin cushion while driving myself insane to find a cause.

[thebazil]

I know nothing about virus-caused hives. But like Anna above, when i had emergency-room-worthy contact hives, the combination of Benadryl (histamine 1 blocker) and Pepcid AC (histamine 2 blocker) made a massive difference and was much better than Benadryl alone.

That was two years ago and I've had dermatographic hives ever since, which was really surprising the first time. Kind of a neat parlor trick.

Good luck - it was bad enough on me, it must be awful on a kid.

[Hedda]

I have dealt with hives more times than I like to think about, and I have also found that nothing else worked like combining the H-1 blocker with the H-2 blocker. Like several other commenters, I also had better luck with zyrtec or claritin than with benadryl. I'm not sure what kind of H-2 blocker would be OK for someone that young. Really, I couldn't believe what a difference it made. Even the steroids hadn't worked, and then I read online about combining the different histamine blockers, and it worked like magic.

[SJ]

My son had emergency room worthy hives when he was about 1 that were caused by a virus - according to the allergist, it was the combo of fever plus hives (literally swelling his eye shut) that pointed to a virus. It was definitely worth a visit to the allergist.

He was on Benadryl for about a week before we could take him off without them coming right back. Since then he has had a few more hives w/virus incidents, but never again as severe. He has had to go to the ER with breathing trouble for croup - I never thought about relating the two, but that was also excessive inflammation, so maybe they are related.

[Nick]

I'd suggest oil of camomile as another mild source of symptomatic relief.

I also agree that lukewarm oatmeal baths might help (I use rolled oats in a lingerie bag or otherwise confined). In winter when dry skin can lead to more itchyness and misery, especially with frequent bathing, a little oil of camomile can go a long way. Sometimes I put a few camomile teabags in the bathwater as well.

This tip came from my Italian cousins and you may have to order it off the internet-- I've had trouble finding it in my area.

I've been known to chill it in the summertime for heat and chafing rashes.

N.B. both oatmeal and camomile are potential allegens, so you may want to do a patch test before dunking the poor little guy into what might be a toxic soup for him.

[Monica]

Haven't had a chance to read the comments, but I have a friend whose daughter is allergic to red dye--are you using the dye-free Benadryl?

[Angie]

I have been dealing personally with a bad case of eczema this year. I know how annoying it can be to have your skin crawl all the time. I have researched this to help myself. The best solution has been a combination of Zyrtec when needed, vaseline and/or Aquaphor. But the funny solution has been Noxema skin cream. I heard (from a pharmacist) to use it a moisturizer and that can help, but I have liked it best to put it on RIGHT before getting out of the shower/tub and then just GENTLY rinsing the excess off. The leftover mentholatum is very soothing and feels cool and good on hot rashes that never seem to get better.

[hedra]

On the long eyelashes, that's a diagnostic sign for digestive/malabsorption issues as well (at least according to one good GI I know of), and also potentially for thyroid malfunction (well-grown-in eyebrows and long lashes are noted for hyperthyroid, short/sparse lashes and thining/sparse outer edges of eyebrows for hypothyroid). So it can fit with multiple diagnostic criteria - they're part of a set, but which set can be hard to figure.

Plus sometimes they're just genetically long lashes.

[Lisa]

two possibilities that haven't been covered - at least for a propensity to hives, if not the hives themselves:

(1) medicine allergy. My son and I are both allergic to common antibiotics - resulting in severe hives and swelling of the extremities (The type of hives we had is called (sp?) erithymia multiformae.) Both treated successfully with prednisone (yuck - but a lifesaver), plus topical stuff - cortisone, oatmeal baths, oatmeal/water paste - to take the itchy edge off. Of course the prednisone is a serious steroid - you probably don't need it - but it was the only thing that worked in both cases (benadryl and zyrtec not helpful).

I remember that in addition to the above, it was all about loose, cool clothes and cool baths until things subsided. I lived in a silk nightie and loose cotton robe for a week or so - no bras/underwear, tight socks, etc. In the winter, you could try loose fleece sweatshirt and sweatpants...

(2) something to look at for repeated hives mostly in adults, but still worth a mention: an autoimmune syndrome called antiphosphalipid antibody syndrome. Seems to be a collection of symptoms that make it more likely that the other stuff in the collection might appear - e.g., rashes and general skin sensitivities, migraines, Reynaud's, and (rarer but worth keeping an eye out for) infertility, frequent miscarriage, lupus and other autoimmune stuff. More common in smallish, fair-skinned (often eastern European or Ashkenazi Jewish) women, for some reason. I'm super-lucky that I have only the less-scary symptoms (though the migraines are no fun). and my antibody levels have remained low - just this side of high-normal, even in pregnancy - but the syndrome did seem to be related to monthly (hormone-related?) hive flareups after the initial reaction for a few years.

[Lisa]

Interesting, too, on the KP and fair skin and long lashes. No KP in our immediate family, but in many cousins on my dad's side. Hmm. The other two factors? Yep, in spades.

[Amanda]

I'm the Amanda from above...

To clarify, the KP and long eyelashes - my pediatrician said it's just a correlation, not causation or even definitive. It' just that a greater percentage of allergy sufferers (versus general population) have KP, long eyelashes, or both. About 40% of the population has KP and it's genetically inherited.

Given that I have year-round hay fever and then some, and that my son has those two markers, it's quite likely he has similar allergies too. So when he's about 4 or 5 yrs old, we'll consider getting him tested for allergies. I'd hate for him to suffer as long as I did before I took Seldane (a long time ago). For many years growing up, I thought it was normal to only breath through your mouth.

My three sibs and I all have/had KP and long eyelashes (one brother and I have to trim ours periodically - yes that long). And we all have or had allergies and asthma to varying degrees along with my parents and some of my grandparents. Lucky of us and the next generation, the treatments are better now.

[mm]

my son has had crazy hives a few times. zyrtec always works better/faster/longer with fewer side effects than benadryl. good luck-- hives suck.

[michelle]

i had the hives for a summer. I'm was allergic to citrus and acidic food. once i had the welts, if i ate the wrong food (jam, spagetti sauce, salsa, juice) i would have swelling lips, eyes, etc. i went through an elemination diet. I'm also allergic to peanuts (won't kill me)with rashes and a runny nose.

I'd keep a food journal and see if there are any reactions after eating something. once you have the itchness, your body is more sensitive to other things.

[lydia]

My daughter went through this, although comparatively mildly, at the same age. It seemed to be eggs. We eliminated them for a time and the hives went away entirely. Reintroduced them about 6 months later and she got itchy, but not true hives. At about a year later all sensitivity seemed to be gone. Who knows?

[Jennifer]

FWIW, I recently was sick for about 6 weeks with a cough and congestion. During those 6 weeks, I also broke out in hives periodically. I used Benadryl cream, and eventually even took some Claritin OTC. I'm not sure what to recommend for a baby or young child, but I can share that my doctor told me that the hives were related to my being sick from a virus.

[Robert]

Hi Amy, so did they go away and what was the story. My 2 yr old son is having the same deal and wanted to know how yours worked out.

[Michelle]

My 2 yr old has had the hives for 8 days now. 2 days ago she woke up with a fever of 101.2 She is also croupy. She coughed so hard she vomited a mod. amout of clear mucous.The fever comes as soon as the Advil wears off. She has had eczema in the past.Iv'e took her to the pediatrician 3 times in the last 8-9 days. They say it's two separate illness. They say it's a virus on top of the hives. They would not do blood work when I asked. She is miserably. Breathing treatments, & atarax isn't working. They say it may last up to 2-3 wks. Does this sound fimiliar to anyone?

[valtrex online]

Reintroduced them about 6 months later and she got itchy, but not true hives. At about a year later all sensitivity seemed to be gone. Who knows?

[generic viagra]

thanks for sharing this post about Q&A: virus-caused hives It's very interesting

[spelling bee]

Interesting, too, on the KP and fair skin and long lashes. No KP in our immediate family, but in many cousins on my dad's side. Hmm. The other two factors? Yep, in spades.

[air jordan 1]

The profoundest thought or passion sleeps as in a mine until an equal mind and heart finds and publishes it.

[air jordan]

If winter comes, can spring be far behind?

[melissa Pumford]

my DS is nearly 30 months and tomorrow will be 2 weeks he has had hives. when he sleeps they disappear. he had piriton & some dissolvable tablets from the GP but not shifting them.
i tried eliminating dairy (not easy) but was still appearing.
today after a sleep they appeared after eating a pear ?
Any ideas please

[FluigeMug]

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