Is There a Connection Between Urticaria and Immune System Disorders? - Internal Medicine

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Is urticaria related to immune system disorders?


Hello Doctor, I have been experiencing itching in my limbs for the past three weeks.
The itching has progressively worsened, so I consulted a dermatologist who diagnosed me with urticaria, although I have never had this condition before.
I have also been tested for allergies to any foods, including seafood, and the results were negative.
Initially, I had a low-grade fever, which was followed by a rash that gradually turned purple, resembling broken blood vessels.
I then visited an immunologist and had blood tests done, which indicated abnormal results in my immune system.
I would like to know if there is a connection between immune dysregulation and urticaria.

Niming, 20~29 year old female. Ask Date: 2023/01/05

Dr. Zeng Guosen reply Internal Medicine


There is a connection between immune dysregulation and urticaria.
For further differential diagnosis, you can consult a dermatologist or an immunology/allergy specialist.
Thank you for your question.

Reply Date: 2023/01/05

More Info


Urticaria, commonly known as hives, is a skin condition characterized by itchy welts or bumps that can appear suddenly and may vary in size and shape. It can be triggered by various factors, including allergens, medications, infections, and even stress. Your inquiry about the connection between urticaria and immune system disorders is quite relevant, especially considering your recent symptoms and the abnormal results from your immune system tests.

To begin with, it is essential to understand that urticaria can indeed be associated with immune system disorders. The immune system plays a crucial role in the body's response to allergens and irritants. In cases of urticaria, the immune system may mistakenly identify a harmless substance as a threat, leading to the release of histamines and other chemicals that cause inflammation and the characteristic itching and swelling of hives. This process is often referred to as an allergic reaction, which can be mediated by IgE antibodies, a type of antibody produced by the immune system.

In your case, the fact that you have experienced persistent itching and the development of hives, along with abnormal immune system test results, suggests that there may be an underlying immune dysregulation. Conditions such as autoimmune diseases can lead to chronic urticaria. For instance, autoimmune urticaria occurs when the immune system mistakenly attacks the body's own tissues, leading to the release of histamines and the subsequent development of hives. Some autoimmune conditions, such as lupus or thyroid disorders, have been linked to chronic urticaria.

Moreover, infections can also trigger urticaria, particularly viral infections. Given that you mentioned experiencing low-grade fever and red rashes prior to the onset of your hives, it is possible that an infection could have played a role in triggering your symptoms. Infections can provoke an immune response that may lead to the development of urticaria, especially if the immune system is already compromised or dysregulated.

It is also worth noting that urticaria can sometimes be idiopathic, meaning that no specific cause can be identified. In such cases, the condition may persist for an extended period, and it can be challenging to determine the exact trigger. However, since you have reported abnormal immune system test results, it is crucial to follow up with your healthcare provider for further evaluation.

In terms of management, treatment for urticaria typically involves antihistamines to alleviate itching and reduce the severity of the hives. In cases where antihistamines are ineffective, other medications, such as corticosteroids or immunomodulators, may be considered. It is essential to work closely with your healthcare provider to identify potential triggers and develop a tailored treatment plan.

In summary, there is a connection between urticaria and immune system disorders. Your symptoms, along with the abnormal immune test results, warrant further investigation to determine the underlying cause of your urticaria. It is advisable to consult with a dermatologist or an allergist who specializes in skin conditions and immune disorders for a comprehensive evaluation and management plan. Regular follow-ups and monitoring of your immune system status will also be crucial in managing your condition effectively.

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