Urticaria

High Yield Notes

5 pages

Flashcards

Urticaria

of complete

Questions

USMLE® Step 1 style questions USMLE

of complete

A 7-month-old boy is brought to the office because of a recurrent pruritic rash on his body. His parent first noticed a few lesions 4 days ago that disappeared within 2 hours. On subsequent days, similar but widespread lesions occurred that improved within a few hours without any intervention. His parent states he has not had any fevers, fatigue, or loss of appetite recently. He recently started gradually weaning off breast milk exclusively and eats boiled eggs for breakfast. He was born via spontaneous vaginal delivery, and his parent reports he has been healthy with no medical conditions. Vitals are within normal limits. Physical examination shows well-demarcated, raised, erythematous plaques as shown:


Reproduced from: Wikimedia Commons

Which of the following is the most likely pathophysiology of this patient’s condition?

External References

First Aid

2024

2023

2022

2021

Pruritus

urticaria p. 485

Urticaria p. 483, 485

ethosuxamide p. 560

scombroid poisoning p. 246

serum sickness p. 111

sulfa drug allergies p. 251

as type I hypersensitivity p. 111

Wheal

urticaria p. 483

Summary

Urticaria, commonly referred to as hives, is a kind of skin rash notable for pale red, raised, itchy bumps, which can cause a burning or stinging sensation. Lesions are frequently caused by allergic reactions; however, there are many nonallergic causes, such as autoimmune disorders like thyroid disease.

Most cases of hives lasting less than six weeks (acute urticaria) are the result of an allergic trigger. Chronic urticaria (hives lasting longer than six weeks) is rarely due to an allergy. Treatment for urticaria typically involves identifying and avoiding triggers, as well as taking medication to relieve symptoms. Antihistamines are often prescribed to block the release of histamine and reduce itching and swelling. In severe cases, oral or injectable corticosteroids may be prescribed.

Elsevier

Copyright © 2024 Elsevier, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Cookies are used by this site.

USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.

RELX