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Problems about uticaria - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   For several days I have had transient large raised bumps on my forehead and frontal scalp that feel to the touch and look as if I have hit my head on something hard. They are painless, usually pinker than surrounding skin, very slightly itchy, and firm. They will usually spread out slowly and eventually (over the course of several hours) disappear. Then the same day or up to a few days later, a new lump or several new lumps will crop up in other spots. They are usually between the size of a pinto bean and the size of a half dollar. Could these be related to a brow lift and blepharoplasty that I had in August?
Doctor :   hi
Doctor :   let me read ur query
Doctor :   what you had seem to be urticaria
Doctor :   these are a form of allergic reaction to something like a insect bite or something that was eaten
Doctor :   they are in no way related to the procedure you had
User :   BTW, my plastic surgeon has seen these and said he hasn't seen anything like it before. I have had hives before, but this doesn't look like them. These lumps are more like what happens when you fall and hit your head on a hard floor.
Doctor :   taking zyrtec once daily , ice packs on the urticarial lesions will be helpful
Doctor :   but they do reduce spontaneously , right ?
Doctor :   do they pain when you press on them ?
User :   I.e, large and firm and quite raised above skin level. Yes, they reduce spontaneously. I probably won't take zyrtec for them, as they produce very little itching. They are painless when I press on them.
Doctor :   ok , since they reduce themselves, and present with itching they appear to be of an allergic origin
Doctor :   any inflammation or injury related condition would have pain
User :   Ok. So I should look for some allergen.
Doctor :   the other issue could be due to mastocytosis
Doctor :   which also present with variety of urticarial rashes
User :   what is mastocytosis?
Doctor :   taking zyrtec or claritin will help in the symptom control
Doctor :   mast cells are immune cells that mediate allergy
Doctor :   mastocytosis, is a condition producing more mast cells,
Doctor :   when they release more histamine, they can produce larger lesions like urticaria
Doctor :   and such lesions occur repeatedly
User :   Thank you for your help. If the bumps become more troublesome, or persist, I will try the medications you suggested. The mastocytosis sounds like a possibility. Thanks again.
Doctor :   you are welcome
Doctor :   thanks for consulting me here
Doctor :   I hope i was helpful
Doctor :   kindly leave your feedback , thanks and take care
User :   You're welcome. You were very helpful. Have a pleasant evening.
Doctor :   bye and have a good night
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