Score your hives the way your dermatologist does
UAS7 is the standard weekly score for chronic hives: rate your wheals and your itch 0–3 once a day, and seven days in a row become one number out of 42. Log it here, watch your week fill in, and walk into your next appointment with the exact metric used to adjust treatment.
Score a day
Saved only on this deviceYour current week
Heading to an appointment? Your UAS7 numbers can ride along on the printable Derm Visit Prep sheet — and when itch, not wheals, is the main event, this diary pairs well with the Itch Scale.
Past complete weeks
UAS7, 0–42Every day you’ve logged
To change a day, hit Edit (or just pick its date above) and save again — the new score replaces the old one.
No days scored yet. Rate today’s wheals and itch above — after your first save the week strip appears, and seven consecutive days give you your first real UAS7.
The Urticaria Control Test (UCT)
The UAS7 above measures how active your hives were, day by day. The UCT asks the other question that matters: over the last 4 weeks, how controlled did they feel? Four questions become a score out of 16 — 12 or more means well-controlled — and tracking the pair is exactly how urticaria guidelines follow whether treatment is working. Like the diary, this is educational self-tracking to bring to a dermatologist or allergist, not a diagnosis.
Take the control test
Last 4 weeks · each answer 0–4How much have you suffered from the physical symptoms of urticaria (itch, hives/wheals and/or swelling)?
How much has your quality of life been affected by urticaria?
How often has your urticaria treatment been insufficient to control your symptoms?
Overall, how well have you had your urticaria under control?
Your latest control test
UCT, 0–16 · well-controlled ≥ 12Past control tests
Answers aren’t stored, only each test’s date and score — to correct a test, retake it with the same date and save again.
UCT: Weller K, Groffik A, Church MK, et al. Development, validation and initial results of the Urticaria Control Test (UCT). J Allergy Clin Immunol 2014;133(5):1365–72. Four items about the last 4 weeks, each scored 0–4 (higher = better), total 0–16: 12 or more indicates well-controlled urticaria, 16 is complete control, and below 12 is poorly controlled.
Saved only on this device — and browsers erase site data. A history clear, a private window, or Safari's automatic deletion after seven days without a visit will take this log with it. The fix is a free Dermington account: it backs this up automatically and puts it on every device you sign in to — details in how storage works.
- Eczema & DermatitisOne Drug Keeps Collecting Diseases That Were Never Supposed to Be RelatedBlistering in the elderly and hives that last for years now answer to the same eczema injection — which says something uncomfortable about how dermatology names things.
- Hives & UrticariaHives Lasting More Than Six Weeks Are a Different DiseaseAcute hives are a reaction and usually have a culprit. Past six weeks they are a mast-cell disorder that usually has none — which is why the exhaustive allergy hunt so many patients are put through is the wrong investigation entirely.
How the UAS7 works
The Urticaria Activity Score is the international standard for measuring how active chronic spontaneous urticaria is — it’s the instrument recommended by the EAACI/GA²LEN urticaria guideline and used in the clinical trials behind modern hive treatments. Once a day you rate two things about the previous 24 hours: wheals (0 none, 1 fewer than 20, 2 twenty to fifty, 3 more than fifty or large confluent patches) and itch (0 none, 1 mild, 2 troublesome but not disturbing activity or sleep, 3 severe enough to disturb either). The two ratings sum to a daily score out of 6, and seven consecutive daily scores sum to the UAS7 — a weekly total out of 42.
This diary does the bookkeeping: each saved day slots into a 7-day strip ending at your most recent entry, missing days are shown as gaps (a complete week needs all seven), and the running total is banded the way clinicians read it — 0 urticaria-free, 1–6 well-controlled, 7–15 mild, 16–27 moderate, 28–42 severe, with UAS7 ≤ 6 the usual treatment target. Past complete weeks are summarized so you can show the trend, not just a snapshot. Everything stays on this device, and the numbers are exactly what a dermatologist or allergist uses to titrate antihistamines and assess eligibility for biologic therapy.
The page pairs the diary with the Urticaria Control Test (UCT), the guideline-recommended companion instrument. Where the UAS7 captures activity prospectively, the UCT (Weller et al., Journal of Allergy and Clinical Immunology, 2014) looks back: four questions about the last 4 weeks — symptom burden, quality-of-life impact, how often treatment fell short, and overall control — each scored 0–4 for a total out of 16. Twelve or more means well-controlled urticaria and 16 is complete control; below 12 is poorly controlled, the validated signal to revisit treatment. Saved tests build a dated history with point-change deltas, so both instruments travel to your appointment together.
Common questions
What counts as a wheal — and what about angioedema?
A wheal is the classic hive: a raised, itchy, pink-or-pale bump or patch that appears and typically fades within 24 hours without leaving a mark. Angioedema is different — deeper, often painful swelling of the lips, eyelids, hands or genitals that can last days — and the UAS7 deliberately does not capture it. If you get swelling episodes, note them separately and tell your doctor, because they change how chronic urticaria is assessed and treated.
Why does the UAS7 need seven consecutive days?
Chronic hives are famously erratic — a clear Tuesday says nothing about a miserable Friday, so a single-day snapshot routinely misleads both patients and clinicians. Summing seven daily scores in a row smooths out that day-to-day noise into one number that actually reflects the week you lived. Skip days and the total becomes a floor rather than a score, which is why this tool flags any gap in your current week.
What UAS7 score means my treatment is working?
Most urticaria specialists treat toward UAS7 of 6 or less, with 0 — a fully urticaria-free week — as the ideal. If your weekly totals are falling and landing at or under 6, the current plan is doing its job; weeks that stay at 16 or higher despite daily antihistamines are precisely the evidence clinicians use to up-dose antihistamines or consider biologic therapy. Bring the trend, not just one week, to the appointment.
When do hives need urgent medical care instead of a diary?
Seek emergency care immediately if hives come with trouble breathing or swallowing, swelling of the tongue or throat, wheezing, dizziness, or feeling faint — that pattern can signal anaphylaxis, and no score sheet applies. Hives plus fever, joint pain, or bruise-like marks that last more than a day also warrant prompt medical review. This diary is for tracking ordinary chronic hives between appointments, never for triaging an emergency.
Is my hives diary private?
Completely — every score you enter is saved in your own browser’s local storage on this device, and nothing is ever sent to a server, an account, or anyone else. The flip side is that clearing your browser data or switching devices means the diary does not follow you, so print or photograph your numbers before an appointment if you want a portable copy.
How is the UCT different from the UAS7?
They answer complementary questions, which is why urticaria guidelines track both. The UAS7 is an activity score: you grade wheals and itch every single day, and seven diary days become a 0–42 total showing how bad the hives actually were. The Urticaria Control Test is a control score: four questions answered in one sitting, thinking back over the last 4 weeks, give a 0–16 total capturing how managed the condition felt — treatment, quality of life and all.
What UCT score means my hives are well-controlled?
Twelve or more out of 16 — a cut-off validated in the instrument’s original study (Weller et al., Journal of Allergy and Clinical Immunology, 2014), with a perfect 16 counting as complete control. Anything below 12 is poorly controlled urticaria, which isn’t a verdict to sit with but a concrete, guideline-recognized reason to revisit treatment with a dermatologist or allergist. Retake the test every few weeks so the trend shows whether a change is actually working.