Know How Our Dermatologist Diagnosed and Treated a Patient With Chronic Urticaria

A user asked an iCliniq's Dermatologist about itching and rashes all over his body. He also mentioned that he got itchy, even at night, which would improve after some time. He listed out the medication he was regularly taking and asked for some specific tests for this issue.

Our doctor went through the query and said it might be urticaria with scabies, which is difficult to diagnose without physical examination. So, to finalize the diagnosis, the doctor asked questions like, did anyone else in the family have itching? Were the rashes like raised mosquito bite-like lesions, which subside in a few minutes? Were there little bumps on the abdomen, extremities, or finger spaces?

The patient reverted, saying yes to all the above questions. And he also let the doctor know about the soap and cream he regularly used.

Our doctor confidently diagnosed him with chronic urticaria and suggested an anti-allergic and anti-parasitic medication. He also explained that the right way to treat urticaria is to take medicines regularly for a few weeks to months.

After a month, the patient reached out to the doctor to inform him that he felt much relief, but he got itching again when he stopped using the suggested medicine.

The doctor said that if the lesions and itching were controlled with the drugs, he can continue the same combination of drugs. He slightly altered the dosage for better results.

In a few months, the patient reverted, saying his urticaria was under control, but last month he could not pass urine and was diagnosed with a bladder tumor after an ultrasound and CT (computed tomography) scan. The patient wanted to know if there was any relation between bladder tumor and chronic urticaria.

The doctor informed the patient that chronic urticaria is an idiopathic condition, and so the cause is unknown in most cases. He explained that infection, tumors, and drugs could also be associated with urticaria, but the association can be a coincidence. So, the doctor suggested continuing the anti-allergic tablet and asked to reduce its dose to once a day.

The patient was highly grateful for the timely help and informed our doctor that he was under treatment for his bladder tumor and will get back with updates soon.