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The disease is caused in 60% of cases by a mutated gene called CIAS1 that is known to be involved in other syndromes that appear somewhat similar, such as Muckle–Wells syndrome and familial cold urticaria. In many patients, the parents do not have the same mutation, indicating the problem was not inherited, even though it is a genetic disease.
[8] [7] It is more common among infants born at higher gestational age and is rare among premature infants. Erythema toxicum neonatorum is more likely to develop in infants delivered vaginally. [4] Higher birth weight is an additional risk factor. There may be a slightly increased risk in males, but this association is unclear.
Hives, also known as urticaria, is a kind of skin rash with red and/or flesh-colored, raised, itchy bumps. [1] Hives may burn or sting. [ 2 ] The patches of rash may appear on different body parts, [ 2 ] with variable duration from minutes to days, and do not leave any long-lasting skin change. [ 2 ]
This condition is characterised by cold induced urticaria, autoimmunity, atopy and humoral immune deficiency. [2] The humeral immune deficiency results in recurrent bronchopulmonary infections. Cutaneous granulomas may also occur. [citation needed] The urticaria usually appears within 12 months of birth but may appear immediately after birth. [3]
[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.
Gianotti–Crosti syndrome mainly affects infants and young children.Children as young as 1.5 months and up to 12 years of age are reported to be affected. [9] It is generally recognized as a papular or papulovesicular skin rash occurring mainly on the face and distal aspects of the four limbs.
Chronic spontaneous urticaria, despite its cause being unknown, is linked to a higher prevalence of autoimmune diseases, and is often worsened by triggers like stress, infections, certain foods, or nonsteroidal anti-inflammatory drugs. The hives and angioedema seen in CSU is thought to be linked to the degranulation of skin mast cells.
The first outbreak of urticaria can lead to other reactions on body parts not directly stimulated, scraped, or scratched. In a normal case, the swelling will decrease without treatment within 15–30 minutes, but, in extreme cases, itchy red welts may last anywhere from a few hours to days.
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