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Severe itching
Hi,
I hope I get some answers to this question. I get severe itching which last for a short time before it subsides(I either give in and scratch or let it go) when I go out in the sun and its hot...or when I workout..basically I think when I am sweating. It itches in my scalp, and parts of my body..like my chest..arms..shoulders etc..the itch is someetimes not bearable..and I have to scratch. What could be the problem? This problem has been there for years and doesnt seem to go away...
I have acne most times..ranging from mild to severe...occasionally and also occasional dandruff.
Please help!
I hope I get some answers to this question. I get severe itching which last for a short time before it subsides(I either give in and scratch or let it go) when I go out in the sun and its hot...or when I workout..basically I think when I am sweating. It itches in my scalp, and parts of my body..like my chest..arms..shoulders etc..the itch is someetimes not bearable..and I have to scratch. What could be the problem? This problem has been there for years and doesnt seem to go away...
I have acne most times..ranging from mild to severe...occasionally and also occasional dandruff.
Please help!
Dr.Aparna,
thanks for taking the time to respond to my question.
To clarify, a few things, I do not get rashes or do not break into hives. It just itches unbearably and then goes away.
Can you tell me more about medication and prevention to my particular case. Should I get a diagnosis from a dermatologist?
thanks for taking the time to respond to my question.
To clarify, a few things, I do not get rashes or do not break into hives. It just itches unbearably and then goes away.
Can you tell me more about medication and prevention to my particular case. Should I get a diagnosis from a dermatologist?
hI,
Cholinergic urticaria is a subcategory of physical urticaria (aka hives) that is a skin rash brought on by a hypersensitive reaction to body heat. Symptoms follow any stimulus to sweat such as exercise (sometimes called exercise-induced urticaria), heat from the sun (which could also indicate solar urticaria), saunas, hot showers (reaction to water can also indicate water urticaria), spicy foods which may cause an increase in body temperature or even stress due to blushing or anger. Some people only have symptoms during the winter months where their body temperature rises when it is unacclimatized to heat.
The rash typically develops within a few minutes of a rise in body temperature but can take longer to appear visibly on the skin. The visible rash is often preceded by a general warming of the skin or itchiness. The hives last from a half an hour to several hours.
All urticarias are caused by an elevated histamine release by the body's mast cells. With cholinergic urticaria the exact triggering mechanism for this response is unknown, but it is assumed to be related to the body's thermoregulatory response.
Drug treatment is typically in the form of antihistamines such as loratadine (Claritin), hydroxyzine, cetirizine.Since an attack can often be felt coming on, it can sometimes be halted by rapid cooling, such as applying cold water or an ice pack to the skin.
REF:http://en.wikipedia.org/wiki/Cholinergic_urticaria
Cholinergic urticaria is a subcategory of physical urticaria (aka hives) that is a skin rash brought on by a hypersensitive reaction to body heat. Symptoms follow any stimulus to sweat such as exercise (sometimes called exercise-induced urticaria), heat from the sun (which could also indicate solar urticaria), saunas, hot showers (reaction to water can also indicate water urticaria), spicy foods which may cause an increase in body temperature or even stress due to blushing or anger. Some people only have symptoms during the winter months where their body temperature rises when it is unacclimatized to heat.
The rash typically develops within a few minutes of a rise in body temperature but can take longer to appear visibly on the skin. The visible rash is often preceded by a general warming of the skin or itchiness. The hives last from a half an hour to several hours.
All urticarias are caused by an elevated histamine release by the body's mast cells. With cholinergic urticaria the exact triggering mechanism for this response is unknown, but it is assumed to be related to the body's thermoregulatory response.
Drug treatment is typically in the form of antihistamines such as loratadine (Claritin), hydroxyzine, cetirizine.Since an attack can often be felt coming on, it can sometimes be halted by rapid cooling, such as applying cold water or an ice pack to the skin.
REF:http://en.wikipedia.org/wiki/Cholinergic_urticaria
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