Urticaria

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Urticaria

Integumentary system

Pigmented skin disorders

Vitiligo

Albinism

Acneiform skin disorders

Acne vulgaris

Folliculitis

Rosacea

Hidradenitis suppurativa

Papulosquamous and inflammatory skin disorders

Contact dermatitis

Atopic dermatitis

Lichen planus

Pityriasis rosea

Psoriasis

Seborrhoeic dermatitis

Urticaria

Keratotic skin disorders

Actinic keratosis

Vesiculobullous skin disorders

Epidermolysis bullosa

Bullous pemphigoid

Pemphigus vulgaris

Desquamating skin disorders

Erythema multiforme

Stevens-Johnson syndrome

Skin integrity disorders

Pressure ulcer

Sunburn

Burns

Frostbite

Skin infections

Cellulitis

Erysipelas

Impetigo

Necrotizing fasciitis

Human papillomavirus

Varicella zoster virus

Poxvirus (Smallpox and Molluscum contagiosum)

Coxsackievirus

Herpes simplex virus

Candida

Malassezia (Tinea versicolor and Seborrhoeic dermatitis)

Pediculus humanus and Phthirus pubis (Lice)

Sarcoptes scabiei (Scabies)

Human herpesvirus 6 (Roseola)

Parvovirus B19

Varicella zoster virus

Measles virus

Rubella virus

Skin neoplasms

Vascular tumors

Human herpesvirus 8 (Kaposi sarcoma)

Angiosarcomas

Skin cancer

Hair and nail disorders

Alopecia areata

Telogen effluvium

Onychomycosis

Integumentary system pathology review

Pigmentation skin disorders: Pathology review

Acneiform skin disorders: Pathology review

Papulosquamous and inflammatory skin disorders: Pathology review

Vesiculobullous and desquamating skin disorders: Pathology review

Skin cancer: Pathology review

Bacterial and viral skin infections: Pathology review

Viral exanthems of childhood: Pathology review

Assessments

Urticaria

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Urticaria

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Questions

USMLE® Step 1 style questions USMLE

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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

2022

2021

2020

2019

2018

2017

2016

Pruritus

urticaria p. 489

Urticaria p. 487, 489

ethosuxamide p. 565

scombroid poisoning p. 248

serum sickness p. 111

sulfa drug allergies p. 253

as type I hypersensitivity p. 111

Wheal

urticaria p. 487

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

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