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admin | Category: Ed Treatment For Migraine | 30.12.2015
Urticaria, commonly known as hives, is a condition where there is red, itchy swellings on the skin (wheals or welts) that appears and disappears often for no known reason. Urticaria occurs when certain chemicals that cause inflammation are released in large amounts for no obvious reason.
Sometimes the immune system itself triggers this release of these chemicals and it is therefore said to be an immune-mediated activation.
Angioedema is the swelling that occurs in the lower layers of the skin or the mucosal lining of cavities, often as a result of an allergic reaction. There are several different subtypes of urticaria that may be classified by the causes or triggers.
Physical urticarias triggered by physical triggers like mechanical force, temperature, water and sun. The causes behind urticaria is not always known although the disease process is fairly well understood.
Contact with latex, animal hair, pollen, dust and other allergens similar to allergic contact dermatitis. Autoimmune diseases like systemic lupus erythematosus (SLE), Sjogren’s syndrome and autoimmune thyroiditis. Apart from skin symptoms, urticaria can also present with various other symptoms some of which can be very serious and potentially life threatening. Picture of the angioedema of the lip from Dermatology Atlas courtesy of Samuel Freire da Silva, M.D. Various other symptoms may be present which are systemic meaning it involves different sites and systems throughout the body.
Some of the following tests may be helpful to identify the underlying cause of chronic urticaria in particular. Corticosteroids are rarely used but may be needed for short period during a severe episode of urticaria. Tricyclic antidepressants may be useful to relieve itching particularly in chronic urticaria.
Epinephrine may be administered for angioedema particularly when it causes airway obstruction. Avoid becoming overheated or cold by dressing appropriately especially in environments with extremes of temperature.
Take note of acute medication that may trigger urticaria or speak to a doctor about the possibility of chronic medication triggering the condition.


Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. Everyone in Bali is born with one of four first names, based on birth order: Wayan, Made, Nyoman, or Ketut. When a person has this particular condition, he or she experiences swelling or deep welts beneath the surface of the skin.
Those with mild cases of the condition may not need treatment, but cold compresses can often help alleviate pain associated with the condition.
Sometimes severe complications may arise, calling for more intensive treatments from a medical professional. At the hospital, patients will undergo emergency care in order to stabilize their condition.
These chemicals include histamine, bradykinin, kallikrein and other vasoactive substancs which are stored in certain immune cells in the skin known as mast cells and basophils. It may appear as deep welts on the skin or a swollen red area like when it affects the eyelids or lips.
Symptoms include the presence of welts, burning areas that itch and severe rash on the body. On the other hand, patients with ovarian cysts and patients who have undergone dental procedures may also be more prone to developing this condition.
For example, those who have trouble breathing as a result of the condition will need immediate medical attention as the airways can constrict, causing a life-threatening situation. Physicians will then perform tests to identify the allergens causing the medical condition and advise patients to avoid these substances if possible.
Sometimes the swelling is of the airways and can lead to difficulty breathing, suffocation and even death.
Normally these chemical are only released when necessary, like if the skin is injured or there is an infection. Chronic urticaria is more likely with autoimmune diseases which are usually chronic conditions. Swelling of the lips and tongue can cause slurred speech and the tongue or larynx may be responsible for a change in the tone and volume of the voice.
Testing is advised when other skin diseases need to be excluded or in chronic urticaria to identify any underlying diseases. Using cool water to bathe the area and topical applications (creams or lotions) like menthol 1% may provide some relief.


Eating certain foods like nuts, eggs, berries, shellfish, milk, and fish can cause angioedema in certain people. More severe cases called angioedema-eosinophilia syndrome will result in breathing difficulties, itching, elevated fever, muscle pain, decreased urination, high white blood cell count, and weight gain.
People who have suffered injuries or who have experienced allergic reactions before may also be at a higher risk for developing the condition. The water can contain baking soda or uncooked or colloidal oatmeal in order to alleviate itching.
Doctors will then treat angioedema with various medications including corticosteroids, antihistamines, cimetidine, terbutaline, and epinephrine. When urticaria arises by some other trigger like drug usage, physical stimuli and psychological stress then it is known to be non-immune mediated activation. It also arises for no known reason in the majority of cases (idiopathic urticaria) and the triggers are almost never identified. More seriously though, swelling of the airways can cause difficulty breathing and in severe cases this is potentially life threatening. Oxygen may be administered as supportive treatment when there is airway narrowing with angioedema. Exposure to animal dander, pollen, and medications that cause allergic reactions may also be the cause of this problem. Some people with the condition may even experience breathing difficulties, stomach cramps, swollen lips, and swollen eyes. People with thyroid disease, lupus, or lymphoma disease may also be candidates for angioedema.
Wearing loose-fitting clothing can help alleviate discomfort associated with mild angioedema as well. Within minutes it causes more blood to flow through the skin and for fluid to leak out of blood vessels into the skin thereby causing swelling of the skin. In most cases a trigger can be found such as certain drugs, foods, an infection or insect bite.
The condition may affect 1 out of 6 people at least once in their lifetime but in most cases it is acute and never occurs again.




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