Patient/caregiver was educated on measures to manage and prevent development of hives as follows:

  1. Cold environmental temperature can dry the skin out, which can initiate a hives response. Having an indoor humidifier can help adding moisture to the environment around, prevent drying of skin, and prevent activation of hives.
  2. Extremely hot environments can also dry the skin out, initiating activation of hives. Maintain an ideal internal temperature always, to prevent fluctuation between extremes. Sudden changes in environmental temperatures during quick moves from cold to warm and vice versa can also result in activation/worsening of hives. Avoid any environments with sudden changes and extremes of temperature.
  3. Avoid being outdoor and choose a temperature-controlled gym for workout program. Avoid hot showers and saunas, as the extremely high temperatures in these units can trigger activation of hives in individuals prone for this skin condition.
  4. Regular vacuuming of all floor and furniture surfaces using efficient air filters can help effective elimination of dust mites and mold. As dust mites and mold can easily settle on carpets and lead to flare-up of allergies and hives, in households with severe cases of hives, replacing the carpet in the house with wood floor, tiles, or vinyl floor can be a better plan.