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Doctor insights on: Urticaria Diagnosis

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Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?

Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy  give more definitive diagnosis?

Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read more

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Dr. Marvin Ott
3 doctors shared insights

Hives (Definition)

An outbreak of red bumps or wheals that appear quickly after exposure to certain allergens (foods, medications, other substances). They can vary in size, are itchy, can burn, and can last for up to ...Read more


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Treatment for chronic urticaria?

Treatment for chronic urticaria?

Chronic urticaria: can be very tough to control, but treatment modalities are present, different protocols are used, needs first to be diagnosed right as so many types are there, chronic idiopathic urticaria is only diagnosed after exhausting all possible causes, and still there's treatment to control it, takes time, and compliance is important, check aaaai.org or acaai.org for an allergist in your area ...Read more

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Solar urticaria-- what is treatment?

Solar urticaria-- what is  treatment?

Solar urticaia Rx.: Sun avoidance, good sun screens, and antistamines are primary treatments. Solar urticaria is a form of physical urticaria (hives) and can be very annoying. There are some medications that can cause a person have a rash on exposure to sun, but they are usually not urticarial in nature. ...Read more

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What is best treatment for chronic idiopathic urticaria ?

Xolair: Xolair , a synthesized monoclonal antibody against IgE, is likely the most effective treatment today when high-dose antihistamine failed. It may work within a few weeks. ...Read more

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Treatment for dermographism?

Treatment for  dermographism?

Write on skin: Dermatograhism is a fairly common annoying problem where miniimal trauma to the skin causes a localized hive eruption (literally write on the skin). It is caused by localized release of histamine from skin mast cells. Histamine then causing the localized "triple response of lewis", itching, redness, and swelling. It occurs and disappears rapidly. Antihistamines can lessen symptoms. ...Read more

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Can be chronic urticaria cure complete ?

Chronic hives: Chronic urticaria can persist for months, year or even decades in some cases. Frequently, the reason or cause of chronic hives cannot be identified. If a cause can be found, then avoidance of the trigger results in resolution. Medications can help decrease symptoms, but sometimes hives will return even after months or years of being gone. Very frustrating disorder for patient and doctor. ...Read more

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Dermographism, are skin allergy testing not accurate?

Dermographism, are skin allergy testing not accurate?

Limited use: Skin testing for allergy is of limited usefulness even when a person does not have dermatographism. The history is the key; skin testing can be confirmatory. Especially, don't conclude that you must severely limit what you do and eat, and where you go, based on skin testing. It's just one piece of information that helps guide decisions. ...Read more

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Chronic urticaria not responding to antihistamines ?

Urticaria: You may need to add a steroid cream to alleviate your symptoms. Have you had allergy testing done? have you seen a dermatologist? Use a non scented soap and lotion as not to further irritate your skin. Hope you feel better soon ...Read more

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What r the symptoms, tests, & treatments for autoimmune urticaria? Is it different from chronic urticaria?

Not necessarily: Chronic urticaria ilasts longer than 6 weeks, and most of those are of unknown cause, chronic idiopathic urticaria (ciu). Part of ciu is due to autoimmunity. However, the tests for autoimmune urticaria may not be sspecific. Autoimmune urticaria may not respond to antihistamines alone. Such patients may require leukotriene antagonists, prednisone, dapsone, Cyclosporine and even ivig. ...Read more

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Can acute urticaria cause lung spots? Need expert opinions!

Can acute urticaria cause lung spots? Need expert opinions!

Unlikely: - however- lung spots that do not go away or grow in size, regardless of the cause, needs to be evaluated by with appropriate imaging and specialist consultation. Hives by definition come and go- sometimes lasting minutes-hours less likely days or weeks.. ...Read more

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Biopsy petechiae right arm: spongiotic psoriasiform dermatitis w/purpura. Drug eruption in a pt. W/underlying psoriasis or eruptive psoriasis exacerbated by a drug. What does this mean? Drug allergy?

Biopsy petechiae right arm: spongiotic psoriasiform dermatitis w/purpura. Drug eruption in a pt. W/underlying psoriasis or eruptive psoriasis exacerbated by a drug. What does this mean? Drug allergy?

See your doctor: This is what is called a "descriptive" path report. In these cases we construct a list of conditions that can produce this type of reaction pattern then try to narrow it down if possible. In these cases a good solid history needs to be taken to identify any possible cause (drug or other). I am afraid this can be a challenging process and sometimes we do not find the actual diagnosis. Good luck. ...Read more

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DLE confirmed by ANA test and CBC at Dermatology symptoms 2013 Biopsy now cancelled. Only criteria to SLE Discoid Rash Photosensivity.SLE?

DLE confirmed by ANA test and CBC at Dermatology 
symptoms 2013 Biopsy now cancelled. Only criteria to SLE Discoid Rash Photosensivity.SLE?

Discoid lupus: Dx is confirmed by biopsy. Also review medications r ,as some medications can cause a lupus like syndrome. Lupus has multiple criteria and there is usually a battery of antibody tests done., tests may initially be negative and later turn positive. f/u w/ rheumatology for second opinion http://www.dermnetnz.org/topics/drug-induced-lupus-erythematosus/ ...Read more

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Ent consultation or allergist for chronic allergy/enlarged turbinates. Each has different opinions. Diagnosis after allergy tests, allergic rhnitis.

Ent consultation or allergist for chronic allergy/enlarged turbinates. Each has different opinions. Diagnosis after allergy tests, allergic rhnitis.

Expert! Please reply: You have seen experts so far w/out success, but they are still experts. My inexpert advice as co-sufferer follows: learn self-management skills including meditation, breathing exercises, best personal dietary & activity routines, consider modifying living situation (then re-consider). Plan activities to take advantage of your best cirumnstances & surroundings. If allergy shots & pills help, good! ...Read more

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How is urticaria diagnosed usually?

How is urticaria diagnosed usually?

Examination: Examination of the skin or pictures of the skin during an outbreak. ...Read more

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How is chronic urticaria of children resolved? With allergy testing?

How is chronic urticaria of children resolved? With allergy testing?

See below: Allergy testing may hold an answer. However, with chronic urticaria, less than 5% of the time is a cause found. ...Read more