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Skin rash, acute uticaria - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi I think I am suffering from acute uticaria -- syptoms what I observe are red spots on body as soon as I go in sunlight or when wear woolen clothes or if there is some heat at some place.. more on dry skin and in not observe this in summer...please suggest is it the acute Uticaria or somthing else when it start itching it is unbearable
Doctor :   Hi
Doctor :   I am
User :   Hello Sir please provide some info abt you
User :   specialization etc
Doctor :   I am General pHysicina
User :   ok
User :   r u from
Doctor :  
User :   which hospital you work for
Doctor :   This is Health Care Magic
Doctor :   I am working for it
Doctor :   I am on line mD
User :   ok please look into my query and tell me what is the reason and type of diseas
Doctor :   ok
Doctor :   You have multple insults/ triggers for Utricaria
User :   ok
Doctor :   Heat, sun , wool
User :   yes
User :   once I come back to cool place all red spots vanish and I feel better
User :   also happen on dry skin
User :   type of itching and small litle rashes comes up once I go to sunlight
Doctor :   It is kind of allergic reaction
Doctor :   It is autoimmune process
User :   ok
Doctor :   body reactions to the external triggers
User :   ok
Doctor :   So it is skin responce to external agent
Doctor :   what we can do: Doctor :   1 . Avoiding triggers
Doctor :   2. best skin care
User :   I visited one doc and he gave me ATarax(25) and zex (180)
Doctor :   3. medications for allergy
User :   ok
Doctor :   What is Zex
User :   but I think Atarax is too heavy because I was feeling geedy
User :   tab Zex (180)
Doctor :   Avoiding triggers : You can wear loose cotton garmnets. Avoid metals. wear full shirts when u go under skin. Apply sun protectants-creams.
Doctor :   wear cooling lasses
User :   do you think we can cure this does not hapopen to me in summers
Doctor :   there is no permanent cure
User :   ok
Doctor :   How old are you?
Doctor :   Can you tell me the component in Zex
User :   26 and why it does not happen in summers
User :   it happens only in winter
User :   is this the syptom
Doctor :   Most of the allergic symptoms appear in winter.
Doctor :   In winter skin is dry
User :   ok
User :   please tell me what should I do
User :   because it becomes unbearable when it apears
Doctor :   ok
Doctor :   Some patients report the onset of acute urticaria associated with the consumption of certain foods, such as shellfish, eggs, nuts, strawberries, or certain baked goods.
Doctor :   Autoimmune disease: Urticaria has been associated with a number of autoimmune diseases
Doctor :   So i advise u get some labs
Doctor :   CBC, DIffereitial count, Rhematoid Factor, ANA
User :   ok
Doctor :   Below is a list of some types of physical urticaria and their causes: Dermatographism/dermographism - Firm stroking
Delayed pressure urticaria - Pressure
Cold urticaria - Cold
Aquagenic urticaria - Water exposure
Cholinergic urticaria - Heat, exercise, or stress
Solar urticaria - Sun exposure
Vibratory urticaria - Vibration
Doctor :   Delayed pressure urticaria ->> caused by Pressure
Doctor :   Cold urticaria >>>>- Cold
Doctor :   Solar urticaria>>>>> - Sun exposure
Doctor :   Avoidance of mental stress, overtiredness, alcohol, nonsteroidal anti-inflammatory drugs, and tight-fitting garments is recommended.
Doctor :   Psychologic stress can trigger or increase itching
Doctor :   Nocturnal pruritus may be reduced by lukewarm bathing
Doctor :   ATarax is good
User :   ok
Doctor :   If u get sleep with atarax go for different
Doctor :   like cetrizine
User :   ok
Doctor :   if urticaral does not respon do one antihistamine swwitch to next one
User :   what is that
User :   for how long should I take medicine
Doctor :   Usually all thru the winter
User :   ohh ok
Doctor :   or when ever u feel u get rash
User :   ok
Doctor :   if the rash does not get better u can use short steroid course
User :   anysideeffects
Doctor :   for antihistaines
User :   can I just keep Atarax or citrazine and take one once I get rash or do u think so dedicated medicine process needs to be followed
Doctor :   or steroids?
Doctor :   No
Doctor :   They are safe medicication
User :   Rashes go away once I go to cold env
User :   I am just worried that this problem should not woresn
Doctor :   Some people take cetriziine every day
Doctor :   No it does not worsen
User :   ok
Doctor :   Actually it gets better with aging
Doctor :   Do not scratch and make it worse
User :   so is it fine if I keep Citrazine or Attrax and take one once I feel unbearable or rashes
Doctor :   that is why cetrizine/Atarax./ Allegra/ etc are imp
User :   or do u advice to do some lab tests to know the root cause
Doctor :   yes u need to take
User :   Please tell me
Doctor :   I told u previously
Doctor :   Autoimmune disease: Urticaria has been associated with a number of autoimmune diseases
User :   so I will do those tests CBC, DIffereitial count, Rhematoid Factor, ANA
User :   any other
Doctor :   So i advise u get some labs
CBC, DIffereitial count, Rhematoid Factor, ANA
Doctor :   These are enough
User :   ok
Doctor :   It is mostly clinical diagnosis
User :   ok
Doctor :   You do not find any reason some times
User :   any medicine you want to prescribe
Doctor :   All medications center around antihistaminic activity
Doctor :   Atarax, Cetrizine , are fine
User :   what is that
User :   ok
User :   I did not get this line - if urticaral does not respon do one antihistamine swwitch to next one
Doctor :   there are 4- types of anti histamines
Doctor :   The classic ones are very standard
Doctor :   Like Atarax
Doctor :   They act best
Doctor :   But they can cause some pleepiness
Doctor :   What I am saying suppose if u r on cetrizine , and rash is not responding, stop Cetrizine andthen go for anothe rmed like Allegra
Doctor :   just leep rotating among cetrizine, laraditide, desloratidine, atarax
Doctor :   If a precipitating factor is identified, patients should be advised to avoid it.
Doctor :   Certain medications, such as aspirin and nonsteroidal anti-inflammatory drugs, are reported to exacerbate urticaria in patients with chronic urticaria resulting from other causes.
Doctor :   nonsteroidal anti-inflammatory drugs are like Ibupriofen
User : final conclusion what I think is take attrax or citrazine whenever it goes unbearable and take precautions and do the lab test what you suggested..keep rotating medicine if one does not support and as you said these medicines does not have sideeffects and are safe and also this problem will go with aging and will not worsen
Doctor :   Most patients with chronic idiopathic urticaria have resolution of symptoms within 3 years from the onset of symptoms;
Doctor :   86% are symptom free at 5 years
Doctor :   Yea ur summarization is is right
User :   Please tell me to whom shall I show the lab test results
Doctor :   YYou can chathere with 15 min pay
Doctor :   or u can consult GP
Doctor :   ALos get TSH
User :   ok..and doctor you are sure this problem will not worsen ??
User :   ok
User :   I am worried it should not get worse
Doctor :   86% are symptom free at 5 years
Doctor :   Most patients with chronic idiopathic urticaria have resolution of symptoms within 3 years from the onset of symptoms;
User :   Also tell me you are sure that this problem does not have any permanent solution so that I should not keep visitng doctors
Doctor :   if it get worse , u may need steroid medication for 10 days
Doctor :   Then u may have to visit GP
User :   Most patients with chronic idiopathic urticaria have resolution of symptoms within 3 years from the onset of symptoms; does this means over the period of three years it auto goes off the problems
Doctor :   SOme giving literature
Doctor :   That is the meaning of the sentence
Doctor :   That is the medical fact
Doctor :   Are you there?
User :   yes
User :   ok
Doctor :   there is a hpe of resolutiopn
User :   ok
Doctor :   But cope with the problem
Doctor :  
Thank you for consulting us
Doctor :   Bye
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