Doctor insights on:
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
Could an experienced dermatologist diagnose a seborrheic keratosis via dermoscopy alone? No biopsy required for diagnosis?
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
See below: Allergy testing may hold an answer. However, with chronic urticaria, less than 5% of the time is a cause found. ...Read more