Presentation
Two forms of urticaria and angiodema Acute - present less than six weeks Chronic - present greater than six weeks Hives are self-limited In most people, the hives are self-limited lasting only for a few weeks. [theallergygroup.com]
He gave an oral presentation on part of this work and presented in Milan. Borja is also working on the SPT Follow-up study. He has been involved in database collection and processing. [ga2len.net]
Presentation Type: Poster Presentation Topic: Allergy Citation: Celis Henao AM, Gómez Henao CM and Cardona Villa R (2015). Omalizumab, a treatment alternative solar urticaria difficult to control. Front. Immunol. [frontiersin.org]
Immune-mediated urticaria or Allergic Pathway Histamine receptors, the H1 and H2 receptors, are present on many cell types. [medcaretips.com]
Urticaria is often classified according to how long it has been present. [ozarkderm.com]
Entire Body System
- Fishing
Foods : the majority of these cases involve peanuts, tree nuts, eggs, fish, shellfish, milk, wheat or soy. Infections : including viral, bacterial, or parasitic. Chronic disease : thyroid problems, chronic infections, autoimmune disorders. [allergywestmi.com]
Common triggers of hives includes foods (peanuts, chocolate, fish, tomatoes, eggs, milk), insect stings and medications (penicillin, sulfa drugs). [dermskinhealth.com]
Differential diagnosis of urticaria Scombroid fish poisoning Histamine release from decomposing scombroid fish causes erythema without weals, tachycardia, abdominal pain, diarrhoea and diaphoresis. [dermnetnz.org]
The most common foods that trigger hives are nuts, fish, tomatoes, and fresh berries. [my.clevelandclinic.org]
Foods that can cause urticaria include : Nuts Eggs Fresh fruits (especially citrus) Chocolates Fish and shellfish Tomatoes Milk and cheese Spices Yeasts Foods additives and preservatives such as tartrazine (yellow dye) may also be responsible. [nsc.com.sg]
- Pallor
They typically are well circumscribed but may be coalescent, and may have central pallor. They are blanchable and pruritic. Eruptions may evolve quickly over minutes to hours. [pedclerk.bsd.uchicago.edu]
The epidermis is unaffected in a lesion of urtica, and no edema, as evidenced by pallor, is detectable in the papillary dermis of it. [derm101.com]
- Chills
The rash affects the chilled parts of the skin. If a large area of skin has been chilled, the rash can be very extensive. [patient.info]
Cold-dependent dermatographism demonstrates prominent hive formation if the skin is scratched and then chilled. [worldallergy.org]
- Candidiasis
Infections such as candidiasis (a kind of yeast infection) may be a cause, although, not common. Emotional stress is known to aggravate chronic urticaria in some. Fifty per cent of cases of chronic urticaria, clear spontaneously in about 6 months. [nsc.com.sg]
Respiratoric
- Rhinitis
Patients with non-allergic rhinitis more often report nasal congestion and rhinorrhea, rather than sneezing and itching, which are predominant symptoms of allergic rhinitis. [reddyallergy.com]
Seasonal allergic rhinitis and antihistamine effects on childrens learning. Ann Allergy 1993;71:121-126. Walker S, Khan-Wasti S, Fletcher M, Cullinan P, et al. [medigraphic.com]
Patients with eczema often go on to develop other allergic conditions including allergic rhinitis (e.g. “hayfever”) and asthma. [omniallergy.com]
Seek symptomatic relief – Urtica dioica, also known as stinging nettle, is an effective botanical that can reduce symptoms of allergic rhinitis. Take Vitamin D – Low levels of vitamin D have been linked to dysregulated immune function. [avogel.ca]
This typically accompanies symptoms of viral rhinitis, pharyngitis, or bronchitis. When such patients are given an antibiotic, the cause of the hives becomes less clear because a drug reaction becomes an alternative possibility. [worldallergy.org]
Gastrointestinal
- Nausea
[…] be allergic to something you also have a high temperature and feel generally unwell you also have swelling under the skin – this might be angioedema Go to A&E or call 999 if you have: difficulty breathing difficulty swallowing dizziness or fainting nausea [nhs.uk]
They include: Side effects tend to be mild and include dizziness, dry mouth, nausea, constipation, and cough. [verywell.com]
If rashes are accompanied by other manifestations such as angiotech, breathing disorders, nausea, tachycardia, urgent need to call an ambulance. Treatment in children is performed by a doctor, a pediatrician. You can visit a dermatologist. [medicalj-center.info]
- Food Intolerance
World Allergy Organization WAO White Book on Allergy 2013 Update Allergic Diseases Resource Center Urticaria and Angioedema: Synopsis (Professional) Urticaria and Angioedema: Global Overview Ask the Expert Food Intolerance and Chronic Urticaria - David [worldallergy.org]
Cardiovascular
- Hypertension
Angiotensin converting enzyme inhibitors (ACE inhibitor) anti-hypertensives release Bradykinin and are a common trigger for angioedema and urticaria, especially Lisinopril, Perindopril and Enalapril. [allergyclinic.co.za]
Fuchs, SA, Koopmans, RP and H, Guchelaar. 1, 2001, Hypertension, Vol. 37, p. e1. [rcemlearning.co.uk]
Angiotensin-converting enzyme inhibitors (ACEIs), drugs used to treat hypertension, (eg, Captopril) can cause recurrent episodes of angioedema, but urticarial skin lesions are not observed. [worldallergy.org]
Regarding corticosteroids, the adverse effects of long-term use in children include weight gain, stunting of growth, hypertension, hair growth, or acne. [clinicaladvisor.com]
Skin
- Urticaria
Urticaria NOS, Urticaria, unspecified, urticaria, urticaria (diagnosis), Rash urticarial, Urticated rash, Urticarial, Urtication, Urticaria [Disease/Finding], hived, urticarias, nettle rash, urticaria nos, urticarial rash, urticarial, hives, nettles [fpnotebook.com]
Urticaria in dermatology is a broad concept that refers to the General definition of a number of diseases. But in this article we will discuss what is non-allergic urticaria and how is it treated. [medicalj-center.info]
Abstract Chronic urticaria is now considered as an autoimmune disorder due to histamine-releasing autoantibodies in 40-50% of cases. [ncbi.nlm.nih.gov]
World Allergy Organization WAO White Book on Allergy 2013 Update Allergic Diseases Resource Center Urticaria and Angioedema: Synopsis (Professional) Urticaria and Angioedema: Global Overview Ask the Expert Food Intolerance and Chronic Urticaria - David [worldallergy.org]
1 Universidad de Antioquia, Colombia Introduction: The solar urticaria is one of the rare types of urticaria characterized by intense itching, hives and rash in locations exposed to sunlight (UVA, UVB and visible light) with individual action spectra [frontiersin.org]
- Dermatitis
الصفحة 15 - Hogan DJ, Dannaker CJ, Maibach HI (1990) The prognosis of contact dermatitis. [books.google.com]
Patients should see an allergist/immunologist if they: Need to confirm the diagnosis of atopic dermatitis or contact dermatitis in a patient with dermatitis. Need to identify the origin of contact dermatitis. [allergyassociatesinc.com]
There are many types of eczema and dermatitis: Atopic Eczema / Atopic Dermatitis Discoid Eczema Contact Dermatitis Specifically, atopy, or being atopic, means having a genetic tendency for your immune system to make increased levels of IgE antibodies [allergyuk.org]
Allergic Contact Dermatitis Allergic contact dermatitis occurs when your skin comes in direct contact with an allergen. [aaaai.org]
- Sweating
Li says sweating can also signal a breakout for those prone to hives. The sweat itself doesn’t cause hives, but indicates your body heat rising. [health.com]
An alternative option that is not drying to the skin is SoloSite Gel Topical menthol 0.5–1% in aqueous cream [PHARMACIST ONLY] this cream is moisturising and can have a cooling, soothing effect Urticaria due to heat rash or sweating [GENERAL SALE] e.g [mydr.com.au]
[…] lesions consist of pruritic areas 1-2 mm in diameter surrounded by bright red macules. cholinergic urticaria Etymology: Gk, chole + ergon, to work; L, urtica, nettle an abnormal and usually temporary vascular reaction of the skin, often associated with sweating [medical-dictionary.thefreedictionary.com]
The rash appears within a few minutes of sweating and tends to be worst on the chest, back and arms. The rash lasts from 30 minutes to an hour or more before fading away. [patient.info]
Physical urticaria is a case of hives caused by direct physical stimulation of the skin from exposure to cold, heat, sun, vibration, pressure, sweating, exercise, and other sources. [my.clevelandclinic.org]
- Pruritus
Genetic basis of cutaneous diseases Arne Kanig and Rudolf Happle Ichthyoses erythrokeratodermas and related disorders Keratodermas Kro Dariers disease and HaileyHailey disease Daniel Hohl Theodora Mauro and leanPhilippe Gorog Mosaicism and linear lesions Pruritus [books.google.com]
Exercise-induced anaphylaxis was first described in a series of patients in whom combinations of pruritus, urticaria, angioedema, wheezing, and hypotension occurred as a result of exercise. [worldallergy.org]
The intense pruritus of urticaria is a result of histamine released into the dermis. [emedicine.medscape.com]
The transient and pruritic nature of lesions is one of the most distinctive aspects of urticaria, but pruritus is sometimes absent. Angioedema is also more likely to be associated with urticaria than other skin conditions. [bpac.org.nz]
Differential Diagnosis Atopic dermatitis: Diagnostic criteria for atopic dermatitis include the following: pruritus, early age of onset, chronic and relapsing course and history of atopy. [omicsonline.org]
- Skin Rash
Urticaria, or hives, is a skin rash characterized by red, raised bumps which are usually itchy and create a burning sensation. Urticaria can be caused by allergic and non-allergic reactions. [elsevier.com]
Itchy skin rashes or hives may be caused by allergic or physical trigger. [dsallergy.com]
People with urticaria describe itch and red, itchy lumps on their skin or swelling. What is urticaria? Urticaria is an itchy skin rash. It often looks like hives or itchy bites, similar to mosquito bites. [jodouglass.com]
In patients with chronic urticaria, who have had skin rash for more than 6 weeks from onset, the etiology is frequently unknown. [clinicaladvisor.com]
This reaction causes an inflammatory skin rash which often becomes red, raised and eventually can blister forming a type of eczema like rash. [reddyallergy.com]
Neurologic
- Insomnia
The two currently recommended options include: Accolate (zafirlukast) Singulair (montelukast) Common side effects of leukotriene modifiers include a headache, nausea, vomiting, insomnia, and irritability. [verywell.com]
"Stress, Insomnia, and Chronic Idiopathic Urticaria – a Case-Control Study". Journal of the Formosan Medical Association. 104 (4): 254–63. PMID 15909063. ↑ Chung, Man Cheung; Symons, Christine; Gilliam, Jane; Kaminski, Edward R. (2010). [ipfs.io]
"Stress, Insomnia, and Chronic Idiopathic Urticaria – a Case-Control Study". Journal of the Formosan Medical Association. 104 (4): 254–63. PMID 15909063. [en.wikipedia.org]
Workup
Evaluation The initial workup for urticaria and angioedema is a history and physical examination to determine a possible etiology ( Table 3 ). [aafp.org]
No further workup necessary unless suspect underlying systemic disease. [pedclerk.bsd.uchicago.edu]
Treatment
Treatment drugs Treatment drugs are based on reducing the susceptibility of the immune system, cleanse the body and therapy of the underlying pathology. [medicalj-center.info]
Few reports have described patients with inducible hives like solar urticaria with successful treatment with anti-IgE therapy. Objective: To describe a case of solar urticaria patient responded well to treatment with omalizumab. [frontiersin.org]
Hives treatment with Anti-histamine medications Hives treatment with Anti-histamine medications is the most common form of hives treatment and helps block the histamine release that causes the itching and swelling. [clarityallergycenter.com]
Treatment of urticaria Acute urticaria The primary treatment in acute urticaria is to avoid the trigger, if it is known to be an acute allergic or inducible urticaria. [allerg.qc.ca]
Evaluation of Different Combined Regimens in the Treatment of Cholinergic Urticaria. WAO Journal 2012; 5(88). [worldallergy.org]
Prognosis
Jump to: Top | Introduction | Differential Diagnosis | Management | Prognosis & Followup strategies | Safety pearls and Pitfalls | References Prognosis & Followup strategies Patients who have experienced urticaria alone do not need formal follow up and [rcemlearning.co.uk]
الصفحة 15 - Hogan DJ, Dannaker CJ, Maibach HI (1990) The prognosis of contact dermatitis. [books.google.com]
Monday, 01 June 2009 Anxiety is a significant problem for many patients with respiratory disease and can have a very negative impact on the disease course and prognosis. [bjpcn-respiratory.com]
Prognosis Most simple cases of hives fade quickly, and the affected skin returns to normal within hours. Even when you have episodes that recur over several weeks, without a known cause, they often stop coming back after a few months. [drugs.com]
Prognosis of Urticaria The prognosis in acute urticaria is excellent. Most of the cases resolve within days. Chronic urticaria can be difficult to treat as 50-80% of people with chronic urticaria have no identifiable triggers. [medcaretips.com]
Etiology
The etiology of different forms of urticaria in childhood. [scielo.br]
The etiology of different forms of urticaria in childhood. Pediatr Dermatol. 2004;21(2):102–108. 9. [aafp.org]
Common Causes of Urticaria Idiopathic -85% of cases no etiology is identified. Allergic Antibiotics- Penicillin, Cephalasporins, Sulfas. May occur during or after completion of taking drug. May take weeks to resolve. [pedclerk.bsd.uchicago.edu]
“Chronic urticaria: etiology and natural course in children”. Int Arch Allergy Immunol. vol. 156. 2011. pp. 224-30. [clinicaladvisor.com]
[…] proximal) phalanges of one or more fingers Frequent attacks affecting all phalanges of most fingers الصفحة 97 - Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M, Hidano A (1991) Decreased levels of ceramides in stratum corneum of atopic dermatitis: an etiologic [books.google.com]
Epidemiology
Epidemiology of urticaria. Monogr Allergy. 1987; 21 :87–115. [ PubMed ] [ Google Scholar ] 8. Gaig P, Olona M, Muñoz Lejarazu D, Caballero MT, Domínguez FJ, Echechipia S, et al. Epidemiology of urticaria in Spain. [ncbi.nlm.nih.gov]
Organization of medical conditions provides a brief overview of the basic disease process, epidemiology, pathophysiology, signs and symptoms, laboratory findings, and currently accepted medical therapy of each disorder. [books.google.com]
Keywords adult, allergy, angioedema, antihistamine, anti-IgE, auto-antibody, autoimmune, breastfeeding, BSACI, child, epidemiology, guideline, hypothyroidism, IgE, management, paraprotein, pregnancy, pregnancy, Urticaria Authors RJ Powell; SC Leech; S [bsaci.org]
[…] 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]
The projects further main research questions he is working with are 1) viral epidemiology, and the association with 2)disease severity and 3)treatment effect. [ga2len.net]
Pathophysiology
We suggest that circulating histamine-releasing factors, probably represented by histamine-releasing autoantibodies, might be involved in the pathophysiology of both chronic urticaria and asthma. [ncbi.nlm.nih.gov]
Organization of medical conditions provides a brief overview of the basic disease process, epidemiology, pathophysiology, signs and symptoms, laboratory findings, and currently accepted medical therapy of each disorder. [books.google.com]
In cases when the condition persists for weeks or months, this is called chronic idiopathic urticarial (or CIU) Pathophysiology: Hives are mediated by cells in the superficial skin called Mast Cells. [allergypartners.com]
The pathophysiology of urticaria is an inflammatory reaction in the skin, causing leakage of capillaries in the dermis, resulting in an edema which persists until the interstitial fluid is absorbed into the surrounding cells. [allergydoc.us]
Basic knowledge of the pathophysiology of these conditions will help you recognise the type of reaction and treat patients effectively from the outset.Clinical assessment Pathophysiology Urticaria (hives) is histamine mediated localised oedema of the [rcemlearning.co.uk]
Prevention
The main task of the patient – the observance of all doctor’s advice and preventive measures that prevent the development of pathology. How to help your child? Often the rashes disappear on their own without treatment. [medicalj-center.info]
Prevention You can prevent hives by identifying and avoiding the particular circumstance or substance that triggered your skin reaction. [drugs.com]
To prevent the reaction from recurring, make sure to avoid contact with the offending substance. [allergyassociatesinc.com]
The best way to prevent hives is to discontinue exposure to the allergic irritant. Hives lasting more than six weeks are known as chronic urticaria or, if there is swelling below the surface of the skin, angioedema. [skincarecenterderm.com]
If the hives feel itchy, the doctor may recommend an antihistamine medicine to block the release of histamine in the bloodstream and prevent breakouts. [kidshealth.org]