Presentation
A four‐generation family with dermographism, probably inherited as an autosomal dominant trait, is presented along with a discussion of sporadic dermographism and other types of familial physical urticarias. [doi.org]
Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years C. Some impairment from the symptoms is present in two or more settings (eg, at school (or work) and at home) D. [books.google.com]
A four-generation family with dermographism, probably inherited as an autosomal dominant trait, is presented along with a discussion of sporadic dermographism and other types of familial physical urticarias. [ncbi.nlm.nih.gov]
Moreover, people suffering from a condition called chronic urticaria may present some characteristics of Dermatographia. [howshealth.com]
Through symptom management, sufferers can reduce itching and burning sensations that present with the appearance of welts. [thehealthyapron.com]
Entire Body System
- Swelling
First a white line appears, it reddens and then swells. [indianexpress.com]
Symptoms vary, but include: Swelling Hives Puffy red lines Itching Usually symptoms resolve within 30 minutes although, in rare cases, swelling may persist for days. Individuals that develop dermatographia may struggle with the condition for years. [northstardermatology.com]
Usually, swelling and itchy skin will fade away on their own; however, if symptoms are bothersome, a doctor might recommend allergy medications. [humanitas.net]
Sometimes at night i would scratch myself by accident causing swelling and itching, i would scratch more, more swelling and itching and by the time i realized what i was doing ⅓ of my body would be swollen (legs, back, bottocks, stomach area!) [healthboards.com]
Swelling: If you develop a slight swelling on your arms, legs, or other parts of your body upon scratching your skin, it is likely you are suffering from dermatographia. [findatopdoc.com]
- Inflammation
Sugar also causes inflammation and compromises the ability of your white blood cells to destroy toxins. This starts within 30 minutes of eating sugar and lasts up to 5 hours. [dermatographia.com]
The chances of the pain and inflammation lasting for a few days are less. It is the most common variety of hives and is seen to occur in around 5 per cent of the population. [home-remedies-for-you.com]
Exposure to cold, heat, pressure, sunlight and emotion can also prompt the inflammation to appear. Testing To test for dermatographia, your doctor lightly scratches your skin with a tongue depressor and observes any inflammation marks. [livestrong.com]
Also, frequent anecdotal evidence suggests taking in small amounts of alcohol may help with the itching, or temporarily cause the inflammation/welts to subside. [thehealthsite.com]
This gives her enough time draw on her skin before photographing it, capturing a temporary inflammation. She often integrates cut-up photographs of her skin into some of her work, and even creates temporary tattoos out of these images. [beautifuldecay.com]
- Pain
Rarely, dermatographia develops slowly and lasts several hours to several days and cau ses burning and pain. The condition itself can last for months or years. [sites.google.com]
Advanced Search: • Use “ “ for phrases o [ “pediatric abdominal pain” ] • Use – to remove results with certain terms o [ “abdominal pain” –pediatric ] • Use OR to account for alternate terms o [teenager OR adolescent ] [msdmanuals.com]
You can use a topical lotion to help alleviate some of the symptoms, including the itching sensation and resultant pain and irritation. [findatopdoc.com]
Louise Sara explains in her original video that her skin reactions are not painful, but simply get a bit itchy sometimes. [sfglobe.com]
Patients still need to rely on one of these drugs if you have itching or extreme pain," he told the Journal recently. [unifortech.blogspot.com]
- Weakness
Despite the lack of antigens, histamine causes the skin to swell in affected areas.[3] If the membrane that surrounds the mast cells is too weak it will easily and rapidly break down under physical pressure, which then causes an allergic-like reaction [en.wikipedia.org]
These mast cells in the skin have surrounding weak membranes that can be easily interrupted or break down if subjected to physical pressure such as scratching – which in turn causes allergic-like reaction. [howshealth.com]
- Fever
(DVT) Diabetes DiGeorge syndrome, Dehydration Diabetes insipidus Digestive Health, Delayed ejaculation Diabetic coma Dilated cardiomyopathy, Delirium Diabetic hyperosmolar syndrome Diphtheria, Dementia Diabetic hypoglycemia Dislocated elbow, Dengue fever [sites.google.com]
[…] kininogen 1 0.360395 AHSG alpha-2-HS-glycoprotein 0.339806 PTGS1 prostaglandin-endoperoxide synthase 1 (prostaglandin G/H synthase and cyclooxygenase) 0.332487 SERPING1 serpin peptidase inhibitor, clade G (C1 inhibitor), member 1 0.327375 MEFV Mediterranean fever [amp.pharm.mssm.edu]
This is a very common occurrence and is more prevalent among people who themselves of their family have a history of asthma, or other allergies such as allergic rhinitis, hay fever, migraine, etc.,” says Dr Deepali Bhardwaj, a renowned Delhi-based dermatologist [indianexpress.com]
Gastrointestinal
- Nausea
Last week, I started with flushed face, then nausea, then horrible abdominal pain, then I woke up with severe watery diarrhea and vomiting, a little while later I started itching real bad and broke out in major hives, my tongue swelled, and heartrate [inspire.com]
Currently I feel like everything is sluggish I’ve been on amoxicillin and it does not treat my stomach well, lots of bloating and nausea. [prettyill.com]
Cardiovascular
- Hypotension
(postural hypotension) Ovarian cancer, Ocular rosacea Osgood-Schlatter disease Ovarian cysts, Oppositional defiant disorder (ODD) Osteoarthritis Ovarian hyperstimulation syndrome, Optic neuritis Osteochondritis dissecans Overactive bladder Paget's disease [sites.google.com]
Symptoms are not associated with headache, angioedema, hypotension, diarrhea, or respiratory compromise. Symptoms have occurred on at least 5 occasions (at least 2 preceded by ingestion of one Excedrin) and once with solar exposure and Excedrin. [aaaai.org]
Puig, Cold Urticaria Associated with Intraoperative Hypotension and Facial Edema, Anesthesiology, 90, 3, (907), (1999). M.C. [doi.org]
- Heart Disease
& Vascular Hemochromatosis, Hand-foot-and-mouth disease Heart arrhythmias Hemolytic uremic syndrome (HUS), Hangovers Heart attack Hemophilia, Hantavirus pulmonary syndrome Heart disease Hemorrhoids, Happiness Heart failure Henoch-Schonlein purpura, Hashimoto's [sites.google.com]
Ears
- Tinnitus
[…] itch, Stuttering Sun allergy Swine flu (H1N1 flu), Sty Sunburn Swollen lymph nodes, Subconjunctival hemorrhage (broken blood vessel in eye) Sweating and body odor Syphilis, Sudden cardiac arrest Sweet's syndrome Syringomyelia Tachycardia Thalassemia Tinnitus [sites.google.com]
Skin
- Dermatographia
The cause of dermatographia is unknown, but it can be triggered in some people by infections, emotional upset or medications such as penicillin. Most people who have dermatographia don't seek treatment. [mayoclinic.org]
Some foods make dermatographia worse. Here are a few that should be limited in your diet: Grains Grains are the seeds from the Poaceae family and commonly called cereal grains. [dermatographia.com]
Overview Raised, red wheals on skin from dermatographia. What is dermatographia? Dermatographia is a common, benign (not harmful) skin condition. [my.clevelandclinic.org]
Dermatographia Dermatographia (also known as “dermatographia”) is a condition in which lightly scratching your skin causes raised, red lines where you’ve scratched. It is not serious, but can be uncomfortable. [lifetimeskincarecenters.com]
- Urticaria
Physical urticarias. http://www.uptodate.com/home. Accessed Aug. 16, 2015. Goldsmith LA, et al., eds. Urticaria and angioedema. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. [mayoclinic.org]
Anne Black, Physical and Cholinergic Urticarias, Urticaria and Angioedema, 10.1201/b13958-9, (171-214), (2013). [doi.org]
However, if the urticaria or hives lasts for more than six weeks, the condition is already considered as chronic urticaria. [howshealth.com]
A type of urticaria or "hives", also known as dermatographic urticaria, dermatographism, or "skin writing". Dermographism urticaria. [emedicine.com]
- Dermatitis
See Also: derma dermabrasion dermal dermapteran dermat- dermatherm dermatitis dermato- dermatogen dermatoglyphics dermatographia dermatoid dermatologist dermatology dermatome dermatomycosis dermatomyositis dermatophyte dermatoplasty dermatosis dermatozoon [wordreference.com]
[…] itchy skin Children are more susceptible to dermatitis in general, while teens and young adults are more likely to develop dermatographia. [healthline.com]
The resulting white line response appears early in flares of atopic dermatitis. [dermato- + G. graphō, to write] autographism a skin condition characterized by wheals that develop from tracing on the skin with the fingernail or a blunted instrument. [medical-dictionary.thefreedictionary.com]
If you have other skin conditions, such as dry skin or dermatitis, you may be more susceptible to dermatographia. Any skin condition that causes a frequent urge to scratch may increase your risk. [mayoclinic.org]
Risk factors Factors associated with an increased risk of dermatographia include: Age (more common in teenagers and young adults) Skin conditions (dry skin or dermatitis) The immune system that causes allergies also increases the risk of dermatographia [humanitas.net]
- Chronic Urticaria
Bettina Wedi and Alexander Kapp, Chronic urticaria: assessment of current treatment, Expert Review of Clinical Immunology, 1, 3, (459), (2005). [doi.org]
Investigation of patient-specific characteristics associated with treatment outcomes for chronic urticaria. Journal of Allergy and Clinical Immunology: In Practice. 2015;3:400. [mayoclinic.org]
Chronic urticaria and angioedema: Hives lasting more than six weeks. The cause of this type of hives is usually more difficult to identify than those causing acute urticaria. [webmd.com]
Effects of Omalizumab in a patient with three types of chronic urticaria. Br J Dermatol. 2013 Sep 14. [Medline]. Metz M, Ohanyan T, Chruch MK, Maurer M. [emedicine.com]
- Pruritus
Pruritus without rash. Mayo Clinic; 2021. Bolognia JL, et al., eds. Pruritus and dysesthesia. In: Dermatology Essentials. 2nd ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed Sept. 28, 2022. Office of Patient Education. Care of Dry Skin. [mayoclinic.org]
Signs & Symptoms The most common symptoms of physical urticaria are itching (pruritus) and hives consisting of red rings around white ridges (wheals). [rarediseases.org]
At this time, we do not fulfill the criteria for primary mast cell activating syndrome which is what I think you were referring to, and there are peculiar points in the history (lack of pruritus, for example) which may point to other causes of flush - [aaaai.org]
However, other forms are associated with pruritus, and this can significantly affect quality of life. Most people with dermographism are otherwise healthy. [emedicine.com]
Urogenital
- Dyspareunia
[…] kapan O...Harmanyeri Y 2006 11 Congenital symptomatic dermographism as the first symptom of mastocytosis. ( 11069538 ) Grimm V...Abeck D 2000 12 Dyspareunia and vulvodynia: unrecognised manifestations of symptomatic dermographism. ( 8988122 ) Lambiris [malacards.org]
Dyspareunia and vulvodynia: unrecognised manifestations of symptomatic dermographism. Lancet. 1997 Jan 4. 349(9044):28. [Medline]. Matthews CN, Warin RP. Cold urticaria and cold precipitated dermographism. Br J Dermatol. Jan 1970. 82:91. [Medline]. [emedicine.com]
Neurologic
- Irritability
For example, rubbing from your clothes or bedsheets may irritate your skin. Sometimes, dermatographia is preceded by an infection, emotional upset or medications, such as penicillin. [mayoclinic.org]
Although, some may experience uncomfortable skin scratch irritation. Ordinarily, dermatographia skin rubbing wheals doesn’t require treatment. [healthblurbs.com]
For example, rubbing from your clothes or bed sheets may irritate your skin. Cold, heat, pressure, exercise, sunlight and emotion can also trigger dermatographia. [lifetimeskincarecenters.com]
- Burning Sensation
Other symptoms can occur in conjunction with the welts, including itchiness and sometimes a light burning sensation. In some cases, sufferers experience the itching or burning sensations without the presence of welts. [thehealthyapron.com]
When it is triggered by allergies, itching and burning sensation might be more severe and thus, the bumps and welts might stay longer than usual. Other symptoms may also follow as regular reactions to the allergies. Jun 30, 2016 Admin [dermanities.com]
Inflammation Tenderness can feel by touching the skin area itchy Mild to moderate pain at the initial stage Similar like skin allergy In rare cases burning sensation also develops Causes The proper causative factor is not yet discovered. [healthsaline.com]
Other types of dermatographism, on the other hand, such as delayed pressure urticaria may result into an extended time of pain accompanied by a burning sensation that may last for a few hours after the contact or physical pressure has been initiated on [howshealth.com]
- Dizziness
Dizziness. Headache. Cough. Sore throat. How soon after treatment will I feel better? Antihistamine capsules start taking effect about 30 minutes after you take them. They’re most effective after about two hours. [my.clevelandclinic.org]
The usual side effect of these drugs is dizziness. It is advisable do not drive after taking these medicines. [healthsaline.com]
If hives or angioedema occur with any of the following symptoms, contact your doctor right away: Dizziness Wheezing Difficulty breathing Tightness in the chest Swelling of the tongue, lips, or face [webmd.com]
Diabetic ketoacidosis Dislocated shoulder, Depersonalization disorder Diabetic neuropathy Dislocation, Depression Diabetic retinopathy Disorganized schizophrenia, Dermatitis Diaper rash Dissociative disorders, Dermatographia Diarrhea Diverticulitis Dizziness [sites.google.com]
- Headache
Thumb arthritis Toxic hepatitis, Testicular cancer Thunderclap headaches Toxic shock syndrome, Testicular torsion Thyroid cancer Toxoplasmosis, Tetanus Thyroid nodules Trachoma, Tetralogy of Fallot Tinea versicolor Transient global amnesia Transient [sites.google.com]
Headache. Cough. Sore throat. How soon after treatment will I feel better? Antihistamine capsules start taking effect about 30 minutes after you take them. They’re most effective after about two hours. [my.clevelandclinic.org]
Symptoms are not associated with headache, angioedema, hypotension, diarrhea, or respiratory compromise. Symptoms have occurred on at least 5 occasions (at least 2 preceded by ingestion of one Excedrin) and once with solar exposure and Excedrin. [aaaai.org]
When I played football, I would hide it just to avoid the headache of everyone asking me questions about it,” Spencer added. [weather.com]
Workup
Microbiology
- Helicobacter Pylori
Birger Kranke, Sigrid Mayr-Kanhauser and Werner Aberer, Helicobacter pylori in acquired cold urticaria, Contact Dermatitis, 44, 1, (50), (2001). P. D. Pigatto and R. H. Valsecchi, Chronic urticaria: a mystery, Allergy, 55, 3, (306-308), (2008). [doi.org]
Symptomatic dermographism may be triggered by drugs (eg, penicillin), an insect bite, Helicobacter pylori infection, or an infestation (eg, scabies, Fasciola hepatica ). [emedicine.com]
Treatment
As a result, many people look into herbal and natural treatments. [healthy-skin-guide.com]
Treatment for Dermatographism Note : Treatment information in this article should not be taken without the aid of a medical practitioner. It is advisable that you consult your doctor prior to doing any treatment procedure. [howshealth.com]
Investigation of patient-specific characteristics associated with treatment outcomes for chronic urticaria. Journal of Allergy and Clinical Immunology: In Practice. 2015;3:400. [mayoclinic.org]
Treatment of Dermatographia Most patients with dermatographia require no treatment, although they may be advised to avoid scratching and other physical stimuli known to produce symptoms. [northstardermatology.com]
It’s also used in the treatment of psoriasis. You can buy Benadryl and other OTC antihistamines online. Alternative treatments Alternative remedies may also offer relief for skin writing. [healthline.com]
Prognosis
Prognosis Simple dermographism is the most common variant, and patients with this form are asymptomatic. However, other forms are associated with pruritus, and this can significantly affect quality of life. [emedicine.com]
Outlook / Prognosis What can I expect if I have dermatographia? Generally, dermatographia leaves no lasting marks, causing only minor, short-lived irritation and symptoms. [my.clevelandclinic.org]
Etiology
However, once again, how far you carry this workup must be tempered by the fact that quite often patients presenting with symptoms such as you described defy any particular diagnosis or etiology. [aaaai.org]
See the following articles: Pathophysiology and Etiology The exact mechanism of dermographism remains uncertain. [emedicine.com]
Epidemiology
[…] children Pediatr Allergy Immunol. 2008 Jun;19(4):363-6 DOI : 10.1111/j.1399-3038.2007.00667.x Konstantinou GN, Papadopoulos NG, Tavladaki T, Tsekoura T, Tsilimigaki A, Grattan CE Childhood acute urticaria in northern and southern Europe shows a similar epidemiological [lucperino.com]
[…] alteration in dermographic reaction after social stress provocation tests. [3] One case report describes symptomatic dermographism secondary to trauma from a coral reef. [4] Symptomatic dermographism may be a presenting feature of dermatomyositis. [5] Epidemiology [emedicine.com]
Pathophysiology
See the following articles: Pathophysiology and Etiology The exact mechanism of dermographism remains uncertain. [emedicine.com]
Pathophysiology Urticaria, or more commonly known as hives is a type I hypersensitive allergic reaction of the skin. It is usually characterized by the rather sudden appearance of elevations in the affected area. [howshealth.com]
Prevention
Prevention To reduce discomfort and prevent the symptoms of dermatographia, try these tips: Avoid irritating your skin. Refrain from using harsh soaps on your skin. Don't wear clothing made of itchy material, such as wool. [mayoclinic.org]
Treatment and Prevention While there are not many treatment options available, dermographism can be treated by substances, which prevent histamine from causing the reaction. [thehealthsite.com]
Examples of these medications include: Diphenhydramine ( Benadryl ) Fexofenadine ( Allegra ) Cetirizine (Zyrtec) 6 Prevention The following can help reduce discomfort and prevent dermatographia: Avoid harsh soaps, itchy clothes, and hot showers or baths [findatopdoc.com]
Despite the discomfort dermatographia may cause, the negative reactions may be preventable. Consider the following lifestyle changes and preventive measures you can take: Avoid itchy clothes and bedding. [healthline.com]
Prevention A few recommendations for preventing dermatographia may include: Refraining from scratching skin and using harsh soaps Avoiding clothing made from itchy material such as wool that can irritate the skin Keeping the skin moisturized by using [humanitas.net]