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Doctor insights on: Urticaria Pigmentosa Adults

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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?

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.

Dr. James Krick
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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What kind of specialist can I see for urticaria pigmentosa?

What kind of specialist can I see for urticaria pigmentosa?

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.

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My six month old son has urticaria pigmentosa. Are there any safe topical medications that I can use on him?

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.

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Is it ok to use both cetirizine and fexonadine alternately to my 16 month old son? He has urticaria pigmentosa

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.

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How can I treat urticaria?

How can I treat urticaria?

Antihistamines: Antihistamines are the primary treatment for hives. Long acting ones like zyrtec or Allegra (fexofenadine) are often effective and easier to take than short acting ones like benedryl. If the hives are persistent or recurrent, see your doctor.

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How can I manage urticaria?

How can I manage urticaria?

Antihistamines: The primary way to manage hives (urticaria) is with over the counter antihistamines (cetirizine) or prescription antihistamines (hydroxyzine). If your hives have been present for more than 3-4 weeks, I would recommend seeing your physician asap.

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What can I do if I have urticaria?

What can I do if I have urticaria?

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.

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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.

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What does it mean if I have urticaria?

What does it mean if I have urticaria?

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.

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What to do if boyfriend has urticaria?

What to do if boyfriend has urticaria?

Not contagious: You are not at risk of catching urticaria from your boyfriend. The best thing you could do is be gentle with him, scratch his back, and get him some Benadryl (diphenhydramine) :-).

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I am suffring from chornic urticaria last 15 years.

I am suffring from chornic urticaria last 15 years.

See below: You may want to consider being tested for celiac disease---there are cases of chronic urticara associated with it.

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How do I know if I have urticaria or something else?

Urticaria: Your doctor can help you answer your question by examining your skin lesions

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Will urticaria kill me?

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.

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Is urticaria painful or just itchy?

Is urticaria painful or just itchy?

Can be painful.: Urticaria may be painful especially if near a joint or if the lesions are due to vasculiis. You need to see you doctor.

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Is it normal for urticaria to peel?

Is it normal for urticaria to peel?

Possible.: Any intensely inflammatory rash can peel after a few days.

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Is there a simple remedy to urticaria?

Is there a simple remedy to urticaria?

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.

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What is a cream that actually works on urticaria?

There aren't any: There are no specific topical treatments such as creams, ointments etc that are effective in treating hives. Typically the hives are too widespread to make it practical to apply creams, etc. Oral antihistamines are the first treatment for hives.

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Is solar urticaria dangerous?

Is solar urticaria dangerous?

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.

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Which allergies cause urticaria?

Which allergies cause urticaria?

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.

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