Hi. Thanks for posting your concern at HCM
I would keep a possibility of
Acquired Angioedema due to
ACE Inhibitor (Lisinopril) and Urticaria. Angioedema due to ACE Inhibitors is usually not assciated with urticaria
Angioedema or Quincke's edema is the rapid swelling of the dermis,
subcutaneous tissue, mucosa and submucosal tissues.
ACE inhibitors are one of the common cause of Angioedema.
You have been on lisinopril which is an ACE inhibitor!! Though ACE Inhibitor induced Angioedema is noticed at the beginning of therapy but sometimes it can happen later on.
Urticaria OR hives can occur due to various causes like(to name a few):
-Infections(bacterial , viral, fungal)
-Drugs
-Certain foods and food additives/preservatives
-Physical Urticaria: Cold temperature, Heat, Pressure(Prolonged Standing, Sitting), Dermaographism etc.
-Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc
-
Autoimmune disorders like SLE, RA etc.
-A few cases have no underlying cause and are known as idiopathic urticaria.
I would advice you to get few basic lab tests like Hemogram, stool for ova/cyst, Urine routine, Chest Xray.
An oral antihistamine like
Fexofenadine OR Loratadine once or twice daily for a week would be suitable. They are non-sedating and wont affect your alertness level.
A topical soothing lotion like calamine would help you symptomatically.
take care
regards