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After the physical examination, your doctor may explore possible triggers to determine the exact cause of chronic hives

Common Causes of Skin Allergies: Pollen, pet dander, or dust mites Certain foods (like nuts or shellfish) Chemicals in soaps, detergents, or cosmetics Latex, metals (e.g., nickel), or fabrics Typical Causes of Fungal Infections: Moisture in skin folds or tight clothing Hot, humid climates Poor hygiene or excessive sweating Weakened immune system or antibiotic overuse Both conditions may be aggravated by stress , diabetes , or eczema

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The low specificity and complex variability of symptoms undoubtedly contribute to the current difficulty in achieving consensus on the diagnostic criteria for histamine intolerance, as will be discussed in detail below [13]