The Itch: Allergies, Asthma, Eczema & Immunology

#128 - Is Chronic Spontaneous Urticaria an Autoimmune Disease?


Listen Later

When people get hives or swelling, they often think it’s caused by an allergy. But in the case of chronic spontaneous urticaria (CSU), the culprit is often your own immune system. CSU isn’t your typical allergic reaction, instead, it’s frequently an autoimmune condition, where the immune system misfires and activates mast cells without any external trigger.

In this episode, Dr. Payel Gupta and Kortney unpack what it means for CSU to be autoimmune and autoallergic. They explain how IgE and IgG antibodies can trigger histamine release, leading to hives and swelling. You’ll also learn why allergy testing isn’t useful for diagnosing CSU, and how tests like IgG food sensitivity panels can do more harm than good by leading to unnecessary food avoidance and confusion.

What we cover in our episode about autoimmune CSU and chronic hives:

  • Is CSU an allergy? Why CSU is often mistaken for an allergic reaction—and why standard allergy tests rarely provide helpful answers.
  • How the immune system works in CSU: What mast cells are, how they release histamine, and their central role in chronic spontaneous urticaria.
  • Understanding autoimmune CSU: Learn how the immune system can trigger hives from within, including the roles of IgE and IgG antibodies.
  • Autoimmune hives explained: We explore how CSU can be autoimmune, why the immune system may attack itself, and what Type I and Type IIb autoimmune CSU really mean.
  • ____

    Made in partnership with The Allergy & Asthma Network.

    Thanks to Novartis for sponsoring today’s episode. 

    This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.

    ...more
    View all episodesView all episodes
    Download on the App Store

    The Itch: Allergies, Asthma, Eczema & ImmunologyBy The Itch: Allergies, Asthma & Immunology

    • 4.3
    • 4.3
    • 4.3
    • 4.3
    • 4.3

    4.3

    92 ratings


    More shows like The Itch: Allergies, Asthma, Eczema & Immunology

    View all
    This American Life by This American Life

    This American Life

    90,795 Listeners

    Radiolab by WNYC Studios

    Radiolab

    43,986 Listeners

    Planet Money by NPR

    Planet Money

    30,798 Listeners

    The Ramsey Show by Ramsey Network

    The Ramsey Show

    39,028 Listeners

    The NPR Politics Podcast by NPR

    The NPR Politics Podcast

    25,840 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,347 Listeners

    The Daily by The New York Times

    The Daily

    112,451 Listeners

    Up First from NPR by NPR

    Up First from NPR

    56,739 Listeners

    The Indicator from Planet Money by NPR

    The Indicator from Planet Money

    9,558 Listeners

    AAAAI Podcast: Conversations from the World of Allergy by The American Academy of Allergy, Asthma & Immunology (AAAAI)

    AAAAI Podcast: Conversations from the World of Allergy

    50 Listeners

    AllergyTalk by allergytalk

    AllergyTalk

    50 Listeners

    SmartLess by Jason Bateman, Sean Hayes, Will Arnett

    SmartLess

    58,305 Listeners

    Ninja Nerd by Ninja Nerd

    Ninja Nerd

    318 Listeners

    Symptomatic: A Medical Mystery Podcast by iHeartPodcasts

    Symptomatic: A Medical Mystery Podcast

    628 Listeners

    Wiser Than Me with Julia Louis-Dreyfus by Lemonada Media

    Wiser Than Me with Julia Louis-Dreyfus

    11,482 Listeners