Inside Out Medicine — we treat skin from the inside out Health in Türkiye
Other Skin Conditions

Urticaria (Hives)

Urticaria produces itchy, raised red weals that typically shift and fade within a day, sometimes with deeper swelling of the lips or eyelids, reflecting a hypersensitivity reaction.

Cortisone-free protocol Same-day callback Consultation in five languages

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Cortisone-free protocol Same-day callback Consultation in five languages Written treatment plan
Signs and symptoms

Do you recognise these signs?

If one or more of these applies to you, we recommend a dermatological assessment.

  • Sudden itchy, raised pink-red weals with a surrounding flare of redness
  • Individual lesions clearing within 24 hours and leaving no mark behind
  • Deeper swelling of lips, eyelids and backs of the hands as angio-oedema
  • Persistence beyond six weeks, defining chronic spontaneous urticaria
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Causes and triggers

  • Histamine release from skin mast cells on an underlying hypersensitive background
  • Infections, medicines, foods and insect stings triggering acute episodes
  • An autoimmune basis and links with thyroid dysfunction in the chronic form
  • Pressure, heat, cold, exercise and stress provoking or worsening the attacks
Cortisone-free protocol

How we treat it

01

A detailed trigger diary to identify food, drug and physical provoking factors

02

Stepped antihistamine therapy to bring itch and weals under control

03

Referral for relevant biologic and systemic options in resistant chronic cases

04

Screening thyroid, infection and deficiencies while reviewing the gut-skin axis

The Inside Out Approach

Why Clinovia?

Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.

01

The Gut–Skin Relationship

We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.

02

Cortisone-Free Protocol

First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.

03

Systemic Repair

Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.

04

Measurable Follow-up

PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.

Most acute urticaria is set off by an infection or medicine and settles within a few weeks. In chronic cases a single cause often cannot be pinned down. Using a consistent trigger diary, appropriate blood tests and physical challenge tests, we narrow down the likely factors together.

If standard doses do not relieve you, the antihistamine dose is stepped up gradually within safe limits. For chronic spontaneous urticaria that remains uncontrolled, relevant biologic treatments are considered. Throughout, we aim for lasting control without creating dependence on cortisone.

Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.

Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.

Appointment

Let's build the right plan for your skin today

Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.

  • Same-day callback
  • Consultation in five languages
  • Written treatment plan
  • Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
  • Mon–Sat: 09:00 – 19:00

Request a same-day callback

Leave your details and our coordinator will call you to arrange the right doctor and time.

This form does not replace a medical diagnosis.

Request received. We will call you shortly.
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Cortisone-free protocol Cortisone-free treatment protocolsGut–skin axis approach12 years of psoriasis & eczema expertiseNB-UVB phototherapy unitConsultation in five languagesSame-day appointment callback