Effective Solutions for Persistent Skin Allergies: Seeking Relief - Dermatology

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Skin allergy


Every time the weather gets cooler or after being exposed to the wind, I develop small, red, swollen, and itchy bumps all over my body, similar to mosquito bites.
This can even happen on hot days when I sweat.
Over the past 15 years, I have consulted many traditional and Western medicine practitioners, but none have been able to cure it completely.
I can only take antihistamines regularly to alleviate the symptoms, but after several years of taking them, the symptoms return once I stop the medication.
This has been a long-standing issue for me, and I wonder if Dr.
Liao has any methods to fundamentally improve my condition so that this bothersome allergy can disappear.
Thank you! P.S.
I have poor liver function, so I prefer not to take medication that could affect it.

Liao Tianwen, 20~29 year old female. Ask Date: 2000/11/16

Dr. Liao Wenyu reply Dermatology


Hello: Based on your description, it may be chronic urticaria.
This condition is often difficult to identify the underlying cause, and therefore it cannot be guaranteed to be completely eradicated.
However, many new antihistamines are quite effective and safe, so they can still be considered for treatment.
Liao Wenyu

Reply Date: 2000/11/16

More Info


Persistent skin allergies can be incredibly frustrating, especially when they seem to flare up with changes in weather or after sweating. Your description of experiencing itchy, red, and swollen bumps that resemble mosquito bites suggests that you may be dealing with a form of urticaria (hives) or another allergic reaction. Given your history of seeking treatment from various healthcare providers without finding a lasting solution, it’s understandable that you are looking for effective and sustainable relief.

Firstly, it’s important to recognize that allergies can be complex and multifaceted. They may be triggered by environmental factors such as pollen, dust mites, or even temperature changes. In your case, it seems that both cooler temperatures and sweating are contributing to your symptoms. This could indicate a condition known as cold urticaria, where exposure to cold triggers an allergic reaction, or heat-induced urticaria, where sweating can provoke similar symptoms.

The fact that you have been relying on antihistamines for years suggests that you may have a chronic form of urticaria. While antihistamines can help manage symptoms, they do not address the underlying cause of your allergies. Additionally, long-term use of medications can have implications for liver health, especially if you have pre-existing liver conditions. Therefore, it’s crucial to explore alternative strategies that can help manage your symptoms without relying solely on medication.

Here are some effective strategies you might consider:
1. Identify Triggers: Keeping a detailed diary of your symptoms can help you identify specific triggers. Note the foods you eat, the weather conditions, and any other environmental factors that coincide with your flare-ups. This information can be invaluable for your healthcare provider in determining a more tailored treatment plan.

2. Avoidance: Once you identify your triggers, the next step is to avoid them as much as possible. For example, if cold air is a trigger, wearing protective clothing during colder months can help. Similarly, if sweating exacerbates your symptoms, try to stay cool and avoid strenuous activities during hot weather.

3. Moisturizing: Dry skin can worsen allergic reactions, so maintaining skin hydration is essential. Use fragrance-free moisturizers regularly, especially after bathing, to help keep your skin barrier intact.

4. Topical Treatments: For immediate relief during flare-ups, topical corticosteroids may be prescribed to reduce inflammation and itching. However, these should be used sparingly and under the guidance of a healthcare provider to avoid potential side effects, especially on sensitive skin.

5. Dietary Considerations: Some individuals find that certain foods can trigger allergic reactions. Consider consulting with a nutritionist or allergist to explore an elimination diet that can help identify food sensitivities.

6. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, herbal medicine, or homeopathy. While scientific evidence may vary, these approaches can be worth exploring, especially if you are looking for non-pharmacological options.

7. Consult an Allergist: Given your long-standing issues, it may be beneficial to consult with an allergist who can perform specific tests to identify allergens and possibly recommend immunotherapy (allergy shots) if appropriate. This treatment aims to desensitize your immune system to specific allergens over time.

8. Lifestyle Modifications: Stress can exacerbate allergic reactions, so incorporating stress-reducing practices such as yoga, meditation, or regular exercise can be beneficial for overall health and may help reduce the frequency of flare-ups.

In conclusion, while persistent skin allergies can be challenging, a multifaceted approach that includes identifying triggers, maintaining skin hydration, and exploring alternative treatments can lead to significant improvements. It’s essential to work closely with healthcare professionals who understand your concerns, especially regarding liver health, to develop a personalized plan that addresses both your symptoms and overall well-being.

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