Picture looks like me when my chronic spontaneous urticaria was at its peak, it started in 2020 triggered by a couple of drug reactions, namely Riveroxban when I had a new hip in ‘ 19, that wore off, but then I was put on Ramipril for bp, and I’ve had urticaria since then. Initially my GP sent me to my local dermatology unit, quite frankly they were useless. I put up with it for a long time time, but then asked to be referred to Guys/St Thomases, were they have a specialist allergy department who are wonderful. I take 4 antihistamines a day plus other medications, I have non scented soap ointment for bathing plus cream which I apply morning and evening. I’ve had biologic injections last year, and am currently having more, as the effect wore off, however although I’ve only had one lot they’ve worked much faster, I have to have five more. My urticaria is autoimmune, no reason at all for it. Good luck!