I need help evaluating my condition. I have had recurrent itchy hives for more than 6 weeks, so I'm concerned about chronic spontaneous urticaria (CSU) or cholinergic urticaria. My hives are very small (pinhead-sized), usually start on my hands and chest, and are triggered by heat, sweating, exercise, and sometimes emotional stress. During attacks I also develop difficulty breathing, feel extremely weak, have heavy eyes, and lose energy after the hives appear. Sometimes I feel itchy all over my body even while sitting. My Total IgE is high, but my routine blood tests (CBC, ESR,
CRP,
liver function,
kidney function,
thyroid function,
vitamin D, etc.) were largely normal. Anti-TPO was around 15 previously. Fexofenadine (Verixo 180 mg) provides some relief.