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Hives, or urticaria, is a form of skin rash with red, raised, itchy bumps. [1] They may also burn or sting. [2] Hives can appear anywhere on the surface of the skin. Whether the trigger is allergic or not, a complex release of inflammatory mediators, including histamine from cutaneous mast cells, results in fluid leakage from superficial blood ...
As it is often the result of scratches, involving contact with other materials, it can be confused with an allergic reaction, when in fact it is the act of being scratched that causes a wheal to appear. These wheals are a subset of urticaria (hives), and appear within minutes, in some cases accompanied by itching. The first outbreak of ...
Cholinergic urticaria typically presents with a number of small papular hives all over the body, that involve cutaneous inflammation (wheals) and severe nerve pain, which usually develops in response to exercise, bathing, staying in a heated environment, spicy foods, or emotional stress.
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Treatment involves discontinuing the use of topical steroids, [2] either gradually or suddenly. [2] Counselling and cold compresses may also help. [ 2 ] Thousands of people congregate in online communities to support one another throughout the healing process, and cases have been reported in both adults and children.
[9] [10] Treatment primarily involves managing symptoms and includes the use of antihistamines, corticosteroids, monoclonal antibodies , and in some cases, immunosuppressive drugs. [11] [12] Despite ongoing research, many aspects of autoimmune urticaria remain poorly understood, and it continues to be a challenging condition to manage.
Several theories have been put forth, however the pathophysiology of pressure urticaria is unknown. [3] Although there isn't an obvious early cutaneous reaction, the time of the reaction following the application of pressure to the skin, the shape of the lesions, and the infiltrating cells observed on histopathologic examination are indicative of a late-phase reaction. [5]