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Chronic idiopathic urticaria
About three years ago I started with a problem, i was laying in my bed one morning and I woke up with the most intense itching sensation on my back. There were long scratch lines down my back that were in track lines. I went to the ER, and i was told it was hives, and nothing to worry about. Well it never went away, it actually got worse. Just large hives, and rashes all over my body. Over the next 2.5 years the problem continued, i've seen doctor after doctor trying to figure out what this is. But most recently over the past few months i've started to get rashes on my body that when scratched tear the skin, and it never really heals over, i get these hard little lumps on my hands, feet, and also my penis. And am also extreamly dermographic latley. The lump on my penis is larg, and when touched feels really hard, almost like a ball, and is starting to become an open sore. This whole ordeal has been something and not one doctor has been able to help me, and i guess im just looking for some sort of answear to this problem.
Have you tried going to a allergist? My husband suffered from Angio Edema Uriticaria and we had to go half way across the country to find a specialist in this field that knew how to treat it.
Hi,
'The primary subgroups of chronic urticaria include physical urticaria (ie, symptomatic dermatographism, cholinergic urticaria, pressure urticaria), urticaria secondary to an underlying medical condition, and chronic idiopathic urticaria (CIU).'
Avoidance of mental stress, overtiredness, alcohol, nonsteroidal anti-inflammatory drugs, and tight-fitting garments is recommended. Nocturnal pruritus may be reduced by lukewarm bathing and keeping the ambient temperature of the bedroom cool. Application of lotions with menthol and phenol (Sarna) provide prompt relief of pruritus for some patients.
Nonsedating antihistamines remain the mainstay of treatment. Many patients find pruritus less troublesome during the daytime, with pruritus maximized at night when there are fewer distractions. An additional nocturnal dose of a sedative antihistamine such as hydroxyzine or doxepin may be added to the morning dose of a low-sedation anti-H1 antihistamine. Doxepin should not be used in patients with glaucoma and should be used with extreme caution in elderly patients or those with heart disease. Doubling the labeled dose of low-sedating antihistamines may benefit some patients, and increasing the dose of these antihistamines is often the safest therapeutic approach for patients who do not have an adequate response to the conventional dose of these medications.
Patients who respond poorly to antihistamine therapy or who are known to have urticaria in which the inflammatory infiltrate is neutrophil predominant may require the addition of colchicine (0.6 mg twice daily) or dapsone (50-150 mg once daily) to the treatment regimen (except patients with glucose-6-phosphate dehydrogenase [G-6-PD] deficiency). Patients with autoimmune urticaria may benefit from methotrexate or cyclosporine.'
A consultation with an allergist is recommended.
You could read more about this at the following link -
http://www.emedicine.com/derm/topic443.htm
Let us know if you need any further information.
Regards.
'The primary subgroups of chronic urticaria include physical urticaria (ie, symptomatic dermatographism, cholinergic urticaria, pressure urticaria), urticaria secondary to an underlying medical condition, and chronic idiopathic urticaria (CIU).'
Avoidance of mental stress, overtiredness, alcohol, nonsteroidal anti-inflammatory drugs, and tight-fitting garments is recommended. Nocturnal pruritus may be reduced by lukewarm bathing and keeping the ambient temperature of the bedroom cool. Application of lotions with menthol and phenol (Sarna) provide prompt relief of pruritus for some patients.
Nonsedating antihistamines remain the mainstay of treatment. Many patients find pruritus less troublesome during the daytime, with pruritus maximized at night when there are fewer distractions. An additional nocturnal dose of a sedative antihistamine such as hydroxyzine or doxepin may be added to the morning dose of a low-sedation anti-H1 antihistamine. Doxepin should not be used in patients with glaucoma and should be used with extreme caution in elderly patients or those with heart disease. Doubling the labeled dose of low-sedating antihistamines may benefit some patients, and increasing the dose of these antihistamines is often the safest therapeutic approach for patients who do not have an adequate response to the conventional dose of these medications.
Patients who respond poorly to antihistamine therapy or who are known to have urticaria in which the inflammatory infiltrate is neutrophil predominant may require the addition of colchicine (0.6 mg twice daily) or dapsone (50-150 mg once daily) to the treatment regimen (except patients with glucose-6-phosphate dehydrogenase [G-6-PD] deficiency). Patients with autoimmune urticaria may benefit from methotrexate or cyclosporine.'
A consultation with an allergist is recommended.
You could read more about this at the following link -
http://www.emedicine.com/derm/topic443.htm
Let us know if you need any further information.
Regards.
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