Doctor insights on:
Urticaria Pigmentosa Adults
See below: Allergy testing may hold an answer. However, with chronic urticaria, less than 5% of the time is a cause found. ...Read more
Water causing hives: Aquagenic urticaria (hives) is one of the phyusical urticarias. It can often be controlled with antihistamines (an old one called Cyproheptadine - periactin (cyproheptadine hydrochloride) especially). Also if there are angioedema symptoms injectable Epinephrine is advisable. There is no effective desensitization at this time, but sometime the symptoms clear or lessen with time. ...Read more
Easy question: Macules are flat. Papules are raised above the surrounding level of the skin. Hives are itchy papules where each hives lasts less than 24 hours. Hives often last for days to weeks but an individual hive lasts less than a day, resolves without leaving a mark on the skin, and may be replaced with other hives. ...Read more
It varies: Retinitis pigmentosa, or rp for short, can be caused by mutations in about 3 dozen different genes. Depending on the gene involved for a particular family, the inheritance can be dominant, recessive, x linked, digenic, or mitochondrial. Complicated! your family history and a thorough medical evaluation are the most important tools for figuring out the inheritance pattern what genes to test. ...Read more
Macular degeneration: The usual risk factors are positive family history, cigarette smoking, far sightedness, light iris color, high blood pressure, high cholesterol, female gender, heart disease , and of course aging. To my knowledge alcoholism in a parent doesn't cause macular degeneration in their children, unless the above risk factors apply to the children. ...Read moreSee 2 more doctor answers
Incontinentia: pigmenti is an uncommon inherited disorder of an incomplete IKBKG gene that causes increased tendency for certain body cells to self-destruct. It is more common in women and primarily affects the skin, eyes, nails and teeth. Most people are spared neurologic involvement, but delayed development, intellectual impairment and seizure may occur. ...Read more
The eyelids...: The eyelids of these children often are rolled out and pulled away for the eyes. This exposes the inside surface of the eyelids which is very vascular and causes the eyes to be exposed and become irritated. In addition, the eyes can often bleed. It is a very difficult situation. ...Read more
Allergy or not: Angioedema such as swelling of the tongue or lips can occur as the result of an allergy to food or medication. It is usually associated with hives (urticaria). The presence of hives essentially rules out the allergic cause making hereditary or acquired c-1 inhibitor deficiency likely. However, the lack of hives does not rule out allergy. See an allergist for further evaluation either way! ...Read moreSee 1 more doctor answer
Is pruritus (body) a common allergy symptom? are allergy induced pruritus alleviated with anti histamines? how different from miliara rubra?
Yes: Allergy is usually associated with itching at the affected organ but most itching are not caused by allergies. Dry skin is by far the most common cause for itching without a skin rash. If the itching is caused by allergies (but not contact allergy), antihistamine in sufficient doses would work. In contact allergy involving the skin, topical cortisone works far better. ...Read more
"most people who experience chronic cholinergic urticaria experienced a stressful event one year before their first outbreak". Immunology explanation?
Not unnessarily: Cholinergic urticaria happens in some people after the core body temperature rises then cools down. It may happen with stress, exercise, or even after having taken a hot shower. The cause is unknown but it is speculated that this group of people have an overactive cholinergic system. ...Read more
Yes.: Yes, we do see allergies in families. Your risk of allergies increases if one parent has allergies, and is even higher if both parents suffer from allergies. Interestingly, we are seeing that exposure to allergens may also play a part in the development of allergies in children. Rural areas, with high levels of plant and animal allergens, actually have lower levels of allergic disease in kids. ...Read moreSee 2 more doctor answers
Dyshidrotic Eczema is not linked to Asthma. Only Atopic Eczema is linked to Asthma( hence the term "Atopic March")
Is this correct?
Yes that's correct: atopic march explains natural history of allergy progression in atopic individuals, while dyshidrotic eczema is different usually has no known cause, and treatment is different, but an individual can have the condition and have asthma too as two separate conditions not necessarily linked ...Read moreSee 1 more doctor answer
How likely is it for someone to have urticaria pigmentosa and cold urticaria? And should I be more worried about symptoms with my son having both?
Urticaria pigmentosa: Urticaria pigmentosa is arare genetic mutation of mastocytosis of the skin. Symptoms can be mild (flushing and hives that require no treatment), moderate (diarrhea, tachycardia, nausea/vomiting, headache, and fainting), or life-threatening (vascular collapse requiring emergency treatment and hospitalization). Usually cold urticaria is annoying but not serious though in rare case it can be. The coi. ...Read more
You are lucky: You should see an allergist/immunologist and/or dermatologist. As you live in Denver, go either to National Jewish Health at 1400 Jackson or to the University of Colorado Medical Center in Aurora, at what used to be Fitzimmons Army Medical Centers many years ago. ...Read more
My six month old son has urticaria pigmentosa. Are there any safe topical medications that I can use on him?
Urticaria pigmentosa: Your son has an elevated number of mast cells in the skin. When you rub the skin, the skin will make hives, because the mast cells release histamine. It doesn't mean that topical medications pose any problem to him, just that when you apply them, you need to do so very lightly, to avoid setting off histamine release. Your doctor can prescribe topical antihistamines but oral ones are really needed. ...Read moreSee 1 more doctor answer
Is it ok to use both cetirizine and fexonadine alternately to my 16 month old son? He has urticaria pigmentosa
That is fine.: With itching or flushing due to diffuse cutaneous involvement or urticaria pigmentosa, non-sedating antihistamines may be administered on a scheduled or as-needed basis, depending upon symptom frequency. Sedating antihistamines can be added for refractory symptoms. Consult with prescribing physician if symptoms are not well controlled. ...Read more
How likely is it to develop anaphylaxis if you had none and you're a young adult? There is long & recent history of rhinitis and urticaria however.
Antihistamines: Over-the-counter non-sedating antihistamines like Allegra, Claritin, or Zyrtec are helpful for persistent hives while sedating antihistamine like Benadryl (diphenhydramine) can be helpful for acute hives. If you have persistent hive reactions consider being seen by an Allergist for further treatment and evaluation. There are many triggers of hives so determining right trigger is important moving forward. ...Read more
Hives: Urticaria is simply the medical term for hives. It can be classified as acute (short term) or chronic (greater than ~6 weeks). Acute urticaria could be due to (but not limited) to allergic or infectious in nature. In contrast, chronic daily hives are not typically due to an external allergy. ...Read moreSee 2 more doctor answers
No: Urticaria (hives) won't kill. Just don't take both hands off the steering wheel to scratch. Anaphylaxis is a much more severe allergic reaction that includes hives with laryngospasm (a choked off windpipe) or shock. These things can kill you but anaphylaxis is quite uncommon compared to hives. ...Read moreSee 1 more doctor answer
Find & Control: Find the cause, when possible. Control the symptoms. There are many things which cause urticaria, and sometimes urticaria can be auto-immune (ie due to your own body's production of antibodies). An allergist can help you identify the cause, when possible, either something as simple as your soap, or watch, or a food, or more complicated like a serious medical problem. ...Read more
Usually not: Solar urticaria normally results in hives after sun exposure that is often accompanied with itching, burning, and rarely pain. Severe attacks are RARE but can manifest with malaise, light-headedness, nausea, bronchospasm, and/or syncope. If you have solar urticaria, I recommend taking an oral antihistamine about an hour before going outdoors and protecting your skin when outside. ...Read more
Any allergy can.: Urticaria (hives) is due to true allergy only 10% of the time. Any type of allergy can cause the skin rash. Foods & drugs are the most common. Other causes can be physical (direct pressure on the skin; cold; change in skin temperature) or underlying diseases like thyroid or auto-immune disorders, infections, cancer, etc. Urticaria that lasts up tp 4 weeks is considered acute. Longer is chronic. ...Read moreSee 1 more doctor answer
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