The skin on my body is inexplicably itchy

If you experience itching on your body, it is likely that you have urticaria. Urticaria is a relatively common disease. Once it occurs, it will cause great physical and mental suffering to the patient. In order to relieve the pain caused by urticaria to patients, they should go to a regular hospital for treatment in the early stage of the disease. Below, we will introduce the causes, clinical manifestations and treatments of urticaria in detail.

1. Causes

The cause of urticaria is very complicated, and the cause cannot be found in about 3/4 of patients, especially chronic urticaria. The common causes include: food and food additives; inhalants; infection; drugs; physical factors such as mechanical stimulation, cold and heat, sunlight, etc.; insect bites; mental factors and endocrine changes; genetic factors, etc.

2. Clinical manifestations

The basic lesion is the appearance of wheals on the skin. The skin often itches first, followed by the appearance of wheals, which are bright red or pale, skin-colored. A few patients have edematous erythema. The size and shape of the wheals vary, and the onset time is uncertain. The wheals gradually spread and merge into sheets. Due to edema of the dermal papillae, the openings of the epidermal hair follicles can be seen sunken downward. The wheal lasts from several minutes to several hours, and in some cases it can last for several days before disappearing without leaving any trace. The rash occurs repeatedly in batches, mostly in the evening. Wheals are often generalized but may also be localized. Sometimes it is accompanied by angioedema, and occasionally bullae form on the surface of the wheal.

Some patients may experience nausea, vomiting, headache, head swelling, abdominal pain, and diarrhea. Severe patients may also have systemic symptoms such as chest tightness, discomfort, pale complexion, accelerated heart rate, weak pulse, low blood pressure, and shortness of breath.

Treatment

Eliminate the cause: For every patient, efforts should be made to find the cause of the attack and avoid it. If the cause is infection, the infected lesions should be treated actively. If the allergy is caused by drugs, the allergy medication should be stopped; if the allergy is caused by food, find out the allergic food and do not eat this food again.

Avoid inducing factors: For example, for cold urticaria, you should keep warm; for acetylcholine urticaria, you should reduce exercise, sweating and mood swings; for contact urticaria, you should reduce the chance of contact, etc.

Glucocorticoids: Second-line medication for the treatment of urticaria, generally used when severe acute urticaria, urticarial vasculitis, pressure urticaria are ineffective with antihistamines, or when chronic urticaria is severely stimulated. They are given intravenously or orally, and long-term use should be avoided. Commonly used drugs are as follows: ① prednisone; ② triamcinolone; ③ dexamethasone; ④ diprosone. In emergency situations, hydrocortisone, dexamethasone, or methylprednisolone is given intravenously.