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Understanding Hives on Darker Skin Tones: What You Need to Know

When it comes to identifying hives, most online resources showcase images of hives on light skin tones. However, hives on darker skin tones can appear differently, making them more challenging to diagnose. In this article, we’ll delve into the unique characteristics of hives on black skin, common triggers, and why they’re often misdiagnosed.

What Do Hives Look Like on Black Skin?

Hives on black skin may not always appear red or pink. Instead, they may blend in with the surrounding skin tone, making them harder to spot. They can appear as inflamed or raised spots, but their color may be closer to the natural skin tone. This can vary widely, and the difference in color may not be as stark as it is on white skin.

Common Triggers of Hives

Hives can be triggered by various factors, including:

• Certain foods
• Medications
• Environmental allergens like pollen, mold, or pet dander
• Insect stings or bites
• Skin contact with pressure or scratching
• High-stress levels
• Viral or bacterial infections

Types of Hives

There are three main types of hives:

1. Immunologic Contact Hives: These occur due to an allergic reaction, which can be serious and spread across large areas of skin.
2. Nonimmunologic Contact Hives: These don’t involve an immune system response and tend to be less intense, often only appearing at the site of contact.
3. Unknown Mechanism Contact Hives: In some cases, the cause of hives may not be clear, and they may fall into this category.

Treating Hives on Black Skin

Treatment for hives depends on whether they’re acute (short-term) or chronic (ongoing). Your doctor may recommend over-the-counter antihistamines, corticosteroids, or other medications to alleviate symptoms. In some cases, home remedies like cool compresses, cold baths, and avoiding triggers can also help.

When to See a Doctor

If your hives last longer than a few days, are severe, or cover a large area of your body, it’s essential to see a doctor. Additionally, if you suspect an allergy triggered your hives, seek medical attention.

Finding the Right Provider

Unfortunately, many medical professionals aren’t trained to diagnose skin conditions on black skin. To get the best care, look for doctors who specialize in skin of color. The American Academy of Dermatology and the Skin of Color Society offer resources to help you find qualified dermatologists.

Takeaway

Hives on black skin can be challenging to identify due to their varying appearance. It’s crucial to find a dermatologist who specializes in dark skin tones to ensure accurate diagnosis and treatment. Remember, if you’re experiencing shortness of breath or swelling of the throat, mouth, or face along with hives, call 911 immediately – you could be experiencing anaphylactic shock.