and Managing Skin Tingling Sensations in Seasonal Changes - Dermatology

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Skin prickling?


Hello, doctor.
During the fall, winter, and spring seasons, whenever my body suddenly heats up, I experience an unbearable tingling sensation in my upper body.
It feels so intense that I can't help but react.
I believe it might be related to changes in my body.
For instance, in winter, if I drink hot soup while eating, the heat causes a tingling sensation that makes me want to take off my clothes.
A few days ago, I went to a hot spring with a personal pool, where the water temperature was around 40 degrees Celsius.
After a few minutes of soaking, my entire body became hot, and I started to feel a tingling sensation all over, from my scalp down to my calves.
It's so overwhelming that I can't resist it, and it drives me crazy.
This situation has persisted for about 6 to 7 years.
The only way to alleviate it is to cool my body down, which makes the tingling sensation disappear.
For example, if I drink hot soup and feel the tingling, stepping outside into a cool breeze will relieve it.
Could you please tell me what kind of condition this might be?

Tòngkǔ de rén, 20~29 year old female. Ask Date: 2004/11/08

Dr. Chen Yiying reply Dermatology


Hello: In response to your question...
Your description is likely indicative of cholinergic urticaria triggered by heat or an increase in body temperature.
You may want to consult a professional dermatologist for diagnosis and treatment.
Generally, antihistamines can be used to manage the condition.
Department of Health, Keelung Hospital, Chen Yi-Ying.

Reply Date: 2004/11/08

More Info


The sensations you are experiencing, particularly the tingling and itching that occurs during seasonal changes or when your body temperature rises, can be quite distressing. This phenomenon is often associated with a condition known as "cholinergic urticaria," which is a type of physical urticaria (hives) triggered by an increase in body temperature. This can occur due to various factors such as exercise, hot showers, spicy foods, or even emotional stress.

Cholinergic urticaria is characterized by small, itchy welts or hives that appear on the skin when the body temperature rises. The hives can be accompanied by a tingling or burning sensation, which seems to align with your description of the symptoms. The condition is more common in young adults and can be exacerbated by environmental factors, such as seasonal changes, which may affect your skin's sensitivity and moisture levels.

In your case, the symptoms seem to intensify during the fall, winter, and spring seasons, which could be attributed to the dry air and lower humidity levels typical of these months. Dry skin can lead to increased sensitivity and irritation, making the skin more reactive to temperature changes. Additionally, the use of hot water, such as in hot baths or saunas, can further exacerbate this condition by causing vasodilation (widening of blood vessels) and increased blood flow to the skin, which may trigger the tingling sensation.

To manage and alleviate these symptoms, consider the following strategies:
1. Moisturize Regularly: Keeping your skin well-hydrated is crucial, especially during the colder months when the air is dry. Use a good quality moisturizer that contains ingredients like glycerin, hyaluronic acid, or urea to help retain moisture.

2. Avoid Hot Showers: While it may be tempting to take hot showers, they can strip your skin of its natural oils and exacerbate dryness. Opt for lukewarm water instead and limit your shower time.

3. Wear Breathable Fabrics: Choose loose-fitting, breathable clothing made from natural fibers like cotton. This can help reduce irritation and allow your skin to breathe.

4. Manage Triggers: Identify and avoid specific triggers that worsen your symptoms. For instance, if hot foods or drinks exacerbate your condition, try to consume them in moderation or at a lower temperature.

5. Consider Antihistamines: Over-the-counter antihistamines may help reduce itching and discomfort associated with hives. However, consult with a healthcare professional before starting any medication.

6. Consult a Dermatologist: If your symptoms persist or worsen, it is advisable to seek the expertise of a dermatologist. They can provide a thorough evaluation and may recommend treatments such as prescription medications or allergy testing to identify specific triggers.

7. Lifestyle Adjustments: Incorporate stress-reducing activities such as yoga or meditation, as stress can also trigger or exacerbate skin conditions.

In summary, the tingling and itching sensations you experience during seasonal changes are likely related to cholinergic urticaria or a similar condition exacerbated by environmental factors. By implementing the above strategies and consulting with a healthcare professional, you can better manage your symptoms and improve your overall skin health.

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