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Online clinic on allergies - Feb 2018

Action Against Allergy (AAA) provides information, advice and support to those made chronically ill through the many different forms of allergy and those who care for them.

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adults & allergy

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Acute urticaria

Postby jagott74 on Wed Feb 07, 2018 6:00 pm

Hi have been diagnosed with acute spontaneous urticaria

Is this a way of saying they can’t determine the cause of my allergies? Admittedly it’s different every time

I take 4 fexofenadine a day with little improvement and it’s starting to get me diwn
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Re: Acute urticaria

Postby Dr Sian Ludman on Thu Feb 08, 2018 1:32 pm

Hi Jagott

Spontaneous urticaria can be very debilitating.
Sadly they aren't fobbing you off - the cause of the urticaria is normally endogenous rather than exogenous i.e you aren't reacting to a stimuli from the outside world, it is more of an internal process, reacting to self. Sometimes it is trigger by viral infections, sometimes by hormones or stress, and sometimes from autoimmune conditions.

That does of fexofenadine sounds sensible, your doctors can escalate further but it should be an allergist managing it at this point rather than a GP, as you could do with some baseline bloods and then inclusion of other drugs and consideration for further management if you meet the criteria.

It can be helpful to monitor things, and there is an app available call SymTrac which my patients find useful

Dr Sian Ludman
MBBCh, DRCOG, MRCPCH, MSc Allergy, European Diploma in Allergology

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Re: Acute urticaria

Postby Dr Chris Rutkowski on Fri Feb 09, 2018 4:46 pm

Do you meant frequent short eposodes of urticaria many weeks apart or daily bouts of hives?
Chronic spontanous urticaria (CSU) can be debilitating but it can be treated/controlled. However not all patients respond to high doses of anithistamines. 30 % of patients with CSU require other types of tablets or injections. CSU is almost never due to allergy and there is usually no need for any lifestyle modifications. You need to be referred to an allergy or urticaria clinic
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