Many people have skin sensitivity problems, but if the condition is serious, it may also bring great troubles to work and life. A female patient in her 20s in Taiwan, her skin would become itchy, red and swollen when she was pressed. After she joined a new company recently, she was asked to sweep the floor following get off work. She was worried that her colleagues would think she was “princess disease” if she refused, so she reluctantly followed suit, resulting in her hands becoming swollen. In desperation, she went to the clinic and asked the doctor to issue a doctor’s certificate for her, proving that she “can’t sweep the floor with a broom.” After the doctor learned regarding it, he learned that the female patient had urticaria constitution and “scratch marks” problem. After treating her for the cause of the disease, fortunately, her condition was finally controlled.
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Taiwanese dermatologist Cai Yishan recently appeared on the local health program “The doctor is hot“, share the above cases. She pointed out that the patient was a woman in her 20s. When she went to the dermatology clinic for medical treatment, she hoped that the doctor might issue her a doctor’s certificate stating that she was “unable to sweep the floor with a broom”. The patient said that he has urticaria constitution and has the problem of “scratch marks” (that is, if the word “A” is drawn on the skin, the word “A” will float). When the tendon is squeezed to the skin, it will feel itchy.
However, she recently joined a new company, and according to regulations, she needs to help clean up the environment following get off work. As a newcomer, she is responsible for sweeping the floor with a broom. Afraid of refusing to be misunderstood by colleagues as having “princess disease”, I managed to finish it that day, but my hands swelled up immediately following sweeping the floor, and I had no choice but to seek medical advice.
After learning regarding it, Dr. Cai finally agreed to sign a certificate for her and also prescribed antihistamine drugs for her treatment. She reminded patients that urticaria is also related to stress, so it is recommended that in addition to taking medicine regularly, they should also actively solve stress problems. Finally, following multiple treatments, the patient’s condition has been brought under control.
Urticaria can be acute or chronic
Taiwanese dermatologist Zhou Wanyi once pointed out that urticaria is commonly known as “wind blushing”, and itchy red or white swelling rashes will appear during the attack. At the same time, it may also be accompanied by neurovascular edema, which usually occurs on the eyelids, lips, or the skin of hands and feet. Severe neurovascular edema may even swell to the trachea, causing dyspnea, and even swells to the gastrointestinal tract, causing diarrhea symptom. When urticaria breaks out, there will be traces that seem to have been scratched, and even the whole patch is red and swollen or a rash.
According to Dr. Zhou, urticaria can be divided into acute or chronic according to the time of onset:
- Acute urticaria (less than 6 weeks onset):Acute attack is an allergic reaction, and allergenic factors can be identified, such as temperature, sunlight, or food.
- Chronic urticaria (more than 6 weeks):Symptoms are recurrent and persistent, due to overactivation of the immune system, and no cause or trigger is usually found.
Chronic urticaria can also be subdivided into spontaneous and induced:
Chronic spontaneous urticarial (CSU):
Generally, chronic spontaneous urticaria can’t be found to cause it, and it will appear repeatedly. Most of it is related to mental stress, and it is usually not caused by food allergy. If a food allergy is triggered, most patients can manage it when the triggering food is discovered and avoided. Chronic spontaneous urticaria can be dragged on for several months, and even some people have tried for more than 10 years and cannot be cured.
Chronic inducible urticaria (CInU):
Physical urticaria often sees skin scratches that swell up when scratched, and linear swellings appear on the compressed parts of the body.
5 common causes of urticaria
Dr. Zhou said that the causes of urticaria are different for each person. You can observe whether you have eaten or come into contact with things that you rarely come across on weekdays to understand the cause of your urticaria.
8 Ways to Reduce Your Risk of Hives Attacks
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Treatment is important for hives Stop suddenly or relapse
Dr. Zhou reminded that neurovascular edema may affect the gastrointestinal tract, and some people may experience diarrhea. If the trachea is affected, shortness of breath may occur, and even life-threatening, so seek medical attention as soon as possible. On the other hand, if urticaria is accompanied by fever, joint pain, purpura, etc., it is necessary to pay attention to whether there is a possibility of vasculitis or other diseases. Dr. Zhou reminded that treatment is very important for urticaria. If the drug is stopped suddenly, it will be easy Relapse once more, so you should take the medicine as directed by your doctor.
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Written by: Ni Huiwen