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
- Infectious Mononucleosis
mononucleosis and hepatitis Pet dander Pollen Some plants, such as poison oak and poison ivy Antihistamines - available either over the counter or by prescription - are a frequently recommended treatment for hives. [acaai.org]
Infections causing hives include the common cold, strep throat, infectious mononucleosis and hepatitis. In most of these cases, when the reason for hives is removed or avoided, the hives resolve. [vasneezers.com]
Urticaria may be a response to infection including the common cold, strep throat and infectious mononucleosis. In the urticaria-prone person, these triggers cause the body to release chemical mediators, including histamine, from cells. [dkb-allergy.com]
Acute viral infection —upper respiratory infection, viral hepatitis, infectious mononucleosis, mycoplasma Acute bacterial infection —dental abscess, sinusitis Food allergy (IgE mediated)—usually milk, egg, peanut, shellfish Drug allergy (IgE mediated) [dermnetnz.org]
Infections and Parasites: – Viral infections, urticaria viral Hepatitis, Infectious mononucleosis and Mycoplasma; – bacterial infections, sinusitis, dental abscess; – parasites, Echinococcosis (dog tapeworm), strongyloidiasis, Blastocyst; Solar urticaria [skinpractice.com]
- Cold Intolerance
Leukotriene receptor antagonists may be most useful in patients with cold urticaria or intolerance to nonsteroidal anti-inflammatory drugs. [aafp.org]
Cardiovascular
- Tachycardia
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]
Systemic symptoms Urticaria Gradual onset Rapid onset and progression Pruritis No Pruritis Respiratory failure (wheeze, fatigue, cyanosis, hypoxia, tachypnoea) Normotension Previous identical episodes Cardiovascular Collapse (Diaphoretic, hypotensive, tachycardia [rcemlearning.co.uk]
Urticaria Etiologies Based on Patient History and Physical Examination Clinical clue Possible etiology Abdominal pain, dizziness, shortness of breath, stridor, tachycardia Anaphylaxis Dermatographism Physical urticaria Food ingestion immediately before [aafp.org]
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]
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]
- Insect Bite
Stings and insect bites : how to treat an insect bite or sting. Scarlet fever : how does the doctor make a diagnosis? Last updated 04.05.2015 [netdoctor.co.uk]
Insect Bite Induced Hypersensitivity and The SCRATCH Principles: A New Approach to Papular Urticaria. Pediatrics 2006;118 e189-196 Sardina N, Craig T. Recent Advances in Management and Treatment of Hereditary Angioedema. [pedclerk.bsd.uchicago.edu]
People suffering with acute urticaria or chronic urticaria may find that their symptoms exacerbated by: Indoor allergens (dust mites, pets) Medications Foods and food additives Pollen Insect bites Some cases of urticaria may be brought on by stress, excessive [center4asthmaallergy.com]
Triggers can include: food pollen and plants insect bites and stings chemicals latex dust mites heat – work and sleep in a cool room and wear loose, lightweight clothes sunlight, exercise or water medicines – speak to your GP if you have an allergic reaction [nhs.uk]
- 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]
- 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]
- Skin Disease
An allergist can help It is important to determine if any underlying disease is present (e.g. thyroid problems, liver problems, skin diseases, kidney problem) or if there is an allergic cause (i.e. a reaction to a drug, insect, food, that is not obvious [theallergygroup.com]
(Pathology and Therapy of Skin Diseases) Vienna, Austria: Urban and Schwarzenberg, 1893:324–5. “Most cases [of urticaria] are transient (acute) and the etiology is usually detected. [derm101.com]
If you have a specific question or concern about a skin lesion or disease, please consult a dermatologist. [aocd.org]
Spector SL, Tan RA (2009) Advances in allergic skin disease: omalizumab is a promising therapy for urticaria and angioedema.J Allergy Clin Immunol 123: 273-274. [omicsonline.org]
Individuals with other skin diseases, especially eczema (ex-zeh-ma), are most susceptible. [allergyassociatesinc.com]
Neurologic
- Dizziness
Signs and symptoms of anaphylaxis include dizziness, trouble breathing, and swelling of your lips, eyelids and tongue. [mayoclinic.org]
Side effects include drowsiness, dry mouth, dehydration, headache, fatigue, dizziness, and mood changes. [verywell.com]
Get emergency treatment if hives occur with wheezing, dizziness, chest tightness, breathing difficulties or swelling of the tongue, lips or face. [drugs.com]
[…] coming back – you may 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 [nhs.uk]
If you break out in hives and experience symptoms such as difficulty breathing or swallowing, tongue swelling, or lightheadedness and dizziness, then you need to seek immediate medical help as these can be signs of anaphylaxis. [allergyasc.com]
- Burning Sensation
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]
Hives, which may be confined to a local area of the skin or involve other parts of the skin, are usually associated with intense itching and/or burning sensation and may last for few hours, days, weeks or even months. [dsallergy.com]
Itching is the most common symptom of hives, although some people report that hives cause a stinging or burning sensation. Hives are a very common reaction to all kinds of stimuli. [medicinenet.com]
They can be incredibly itchy and are typically accompanied by a stinging or burning sensation. A hives rash can appear anywhere on your body and can be as small as a pencil eraser or as large as a dinner plate. [hives.org]
The welts can: have a pale center appear in clusters change shape and location in a matter of hours be tiny or as big as a dinner plate itch, sting, or cause a burning sensation Someone who also has angioedema might have puffiness, blotchy redness, swelling [kidshealth.org]
- Confusion
I know it is confusing. But ask yourself, is there anything that seems to consistently trigger your hives? For most people, the answer is “no.” [clarityallergycenter.com]
This can make it confusing when trying to identify the cause. Here is a list of some common causes: Autoimmune causes - this is where the body's immune system tends to activate itself and cause the hives. This is quite a common cause of hives. [healthpoint.co.nz]
Common conditions that can be confused with urticaria are listed in Table 2. 12, 13 These conditions are diagnosed primarily by history and physical examination. [aafp.org]
Just to confuse the issue, Chronic Urticaria may also occur together with Physical (Inducible) Urticaria. [allergy-clinic.co.uk]
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]