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What Causes Needle Like Pain On Back While Standing In Sunlight?

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Posted on Tue, 31 Dec 2013
Question: Hi, My age is 24(Male). When change in temperature of body(mostly when body starts sweating ), i am feeling pain like pinching with needle mostly on back part some on different parts of upper body. When it happens I feel like I need to scratch it or rub it. Mostly it happens when i went into sunlight. Can you please tell me what is this. If any please suggest me. Thanks in advance.
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Answered by Dr. Sujoy Khan (37 hours later)
Brief Answer: Cholinergic urticaria Detailed Answer: Hello, Welcome to Healthcare Magic. What you are complaining of is called cholinergic urticaria, that is when the skin temperature (surface) changes with either sunlight, hot or cold water, mast cells in the skin release histamine that causes redness and itching. What you need is a long-acting antihistamine like Cetirizine 10mg (up to two tablets a day 12hrs apart) or Fexofenadine 180mg once daily. You can keep Dermocalm lotion to soothe the skin after a shower. Do not scrub skin as pressure can also lead to urticaria. If it gets severe, I would suggest the following tests: Hemogram Ferritin levels Liver function tests Uric acid Basic Allergy profile (such as dust mite levels, cockroach and total IgE) Fasting sugar and lipid profile Vit D3 levels Best Wishes.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sujoy Khan

Allergist and Immunologist

Practicing since :1999

Answered : 584 Questions

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What Causes Needle Like Pain On Back While Standing In Sunlight?

Brief Answer: Cholinergic urticaria Detailed Answer: Hello, Welcome to Healthcare Magic. What you are complaining of is called cholinergic urticaria, that is when the skin temperature (surface) changes with either sunlight, hot or cold water, mast cells in the skin release histamine that causes redness and itching. What you need is a long-acting antihistamine like Cetirizine 10mg (up to two tablets a day 12hrs apart) or Fexofenadine 180mg once daily. You can keep Dermocalm lotion to soothe the skin after a shower. Do not scrub skin as pressure can also lead to urticaria. If it gets severe, I would suggest the following tests: Hemogram Ferritin levels Liver function tests Uric acid Basic Allergy profile (such as dust mite levels, cockroach and total IgE) Fasting sugar and lipid profile Vit D3 levels Best Wishes.