Irregular over heating with occasional rash--not prickly heat

[toohotinmn]

Cannot get diagnosed.  Have been tested 4 dermatoligists.
Prednizone is the only thing that worked but not a good solution long-term.
Looking for treatments or ideas.  

Symptoms:
Raised skin
Itch
Extreme body heat in neck, arm, inner thigh and back areas.
Occasional sweats

Triggers:
Heat
Sugar & Alchohol mixed
Stress

[Bhupinder Kaur, MD]

Hello,
Your symptoms are suggestive of hives. Hives (medically known as urticaria) are red, itchy, raised areas of skin that appear in varying shapes and sizes.

The mainstay of treatment of hives is antihistamine which may be necessary for prolonged periods (in excess of 6 weeks). Double conventional doses of these non-sedating antihistamines such as Cetirizine, Loratadine, Acrivastine and Fexofenadine may be needed to get symptom relief. Sedating antihistamines such as Chlorphenamine or Hydroxyzine are used at night to get urticaria control. Short courses of oral cortisone or steroids are taken for short periods (one to three days) to settle more severe symptoms.
You may take Vitamin C along with the prescribed treatment. Vitamin C is a general anti-allergy supplement. It helps stabilize mast cells so they are less likely to release histamine.

If the symptoms persist, then you can consult an immunologist. He may start with immunosuppressive drugs.

If the hives don’t go after 6 wks of treatment also, then it can be a case of chronic urticaria which needs further evaluation as it may be due to auto antibodies.

I hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional doubts.Kind regards.

[jagesh50]

Please do not take prednisolone if not prescibed.Your condition is a certaiin variant of chronic urticaria.Best to try cyproheptadine 1tab bedtime,you would get good control but negative point is that that it sedates and stimulates appetite.Loratidine is a newer alternative minus these.Alcohol  would cause more sedation with the tabs so be careful when you drive or work with machinery.