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Urticaria on neck.

My poor sister has urticaria on her neck and arms and nothing ever seems to make it go away and stay away. Steroids work short term. Has anyone had any success with something different? She is only 25 and it really bothers her. Many thanks
Asked On : Fri, 15 Jan 2010
Answers:  2 Views:  1701
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  User's Response
Avoid any obvious triggers or exacerbating factors and try these simple measures: 1) Keep the skin cool, avoid getting hot from exercise and take lukewarm baths. Resist the temptation to rub the itchy skin and apply copious amounts of moisturizing creams to reduce dryness and itch. 2) Avoid alcoholic drinks and foods containing additives. 3) Apply 1% menthol in aqueous cream to soothe the affected skin. 4) Avoid all aspirin or codeine containing medication (including ibuprofen, diclofenac and mefenamic acid). Only use paracetamol as a painkiller. 5) Carefully read Side Effects list of any other medication you are currently taking and avoid medicines that are known to trigger urticaria or angioedema. The mainstay of treatment is high dose ANTIHISTAMINE medication which may be necessary for prolonged periods (in excess of 6 weeks). Double conventional doses of antihistamines may be needed for symptom relief. Occasionally "stomach-ulcer treatment" medication such as Cimetidine and Ranitidine which are known to also dampen down histamine release are added. New leukotriene receptor antagonists used for asthma have produced some symptom relief in chronic urticaria which you can discuss with your treating doctor. Short courses of oral steroids may be necessary to settle more severe symptoms can be tried with doctor?s advice only. Cortisone should not be used for prolonged periods of time as they may lead to osteoporosis in adults. Sometimes special investigations are done if the condition is recurring and find out the rarer causes. The Autologous Serum Skin Test (ASST) raises a weal on re-injection of the patients serum and is a good indicator of Auto-antibodies.
Answered: Sat, 16 Jan 2010
Pediatrician Dr. Suryakanta Baraha's  Response
first Identify the etiology of the acute urticaria if possible.If an inciting agent can be identified, instruct the patient to avoid it.Antihistamines are the primary agents used to treat urticaria.if not conrolled by antihistaminics then corticosteroids used.If a trigger can be identified, avoidance is the most effective form of management. This would include any food, medication, physical agent, or other factor that triggers the urticaria
Answered: Fri, 29 Apr 2011
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