Acne and Hives: Causes, Treatments, and Concerns

Could you please provide more context or details regarding the issues with acne and urticaria (hives)?

Hello doctor, I have two questions to ask you.

First, I have a lot of acne on my face, and I have used a facial cleanser (I used a pH 6.5 facial cleanser from a brand called Phisoderm).
However, the day after washing my face, several new pimples appeared (after that time, I was afraid to wash my face again).
Am I allergic to that product? What kind of facial cleanser should I use?
Second, a few weeks ago, we went from my home temple to another temple to seek blessings, and on the way, we stopped by a place called "Water and Fire Coexistence" to play.
While walking, I suddenly felt a sharp pain in my groin and thigh area.
At first, I thought it was due to friction, so I spread my legs apart.
However, on the way back, the pain intensified, and I developed a fever.
I went to the hospital, but I couldn't sleep well at night.
After a few days, I felt better.
This morning, my brother and I both experienced similar symptoms, and we haven't seen a doctor yet.
Is urticaria contagious?

Hai pa de ren, 10~19 year old female. Ask Date: 2005/10/09

Dr. Jiang Zheen reply Dermatology

Acne is not caused by allergies, so it is not related to facial cleansers.
Urticaria is not a contagious disease; it is a skin condition caused by allergies.
Wishing you safety.

Reply Date: 2005/10/09

More Info

Acne and hives are two common skin conditions that can cause significant discomfort and concern. Let's delve into your questions regarding these issues.

Understanding Acne
Acne is primarily caused by the clogging of hair follicles with oil (sebum) and dead skin cells. This can lead to the growth of bacteria, resulting in inflammation and the formation of pimples. Factors contributing to acne include hormonal changes, diet, stress, and certain medications.
In your case, it seems that you are experiencing persistent acne despite using a facial cleanser. The fact that you are seeing new breakouts shortly after washing your face could indicate a few possibilities:
1. Product Sensitivity or Allergy: It’s possible that you may be sensitive or allergic to one or more ingredients in the cleanser you are using. The pH of the product (6.5) is relatively neutral, which is generally good for skin health, but individual reactions can vary. Consider switching to a gentle, non-comedogenic cleanser specifically formulated for acne-prone skin. Look for products containing salicylic acid or benzoyl peroxide, as these ingredients can help reduce acne.

2. Overwashing: While it might seem counterintuitive, overwashing your face can strip your skin of its natural oils, leading to increased oil production as your skin tries to compensate. This can exacerbate acne. It’s generally recommended to wash your face twice a day—once in the morning and once at night.

3. Underlying Conditions: If your acne persists despite using appropriate products, it may be worth consulting a dermatologist. They can assess for underlying conditions such as hormonal imbalances or other skin disorders that may require targeted treatment.

Understanding Hives
Hives, or urticaria, are raised, itchy welts on the skin that can occur due to various triggers, including allergies, stress, medications, or infections. They are typically not contagious, meaning you cannot spread hives to another person.

Regarding your experience of sudden pain in your groin area followed by fever, it’s essential to consider a few factors:
1. Possible Infection: The pain you experienced could be related to a muscle strain, an infection, or even a hernia. If you had a fever accompanying the pain, it might suggest an underlying infection that needs medical evaluation.

2. Hives and Pain: If you or your brother are experiencing hives, it’s crucial to identify the trigger. Hives can be caused by allergic reactions, and if you were exposed to something new during your visit to the temple, it could be a potential allergen.
3. Consultation with a Healthcare Provider: Given that you and your brother are experiencing symptoms, it would be wise to consult a healthcare provider. They can perform a thorough examination, possibly conduct allergy tests, and provide appropriate treatment options.

Conclusion
In summary, for your acne, consider switching to a gentle, acne-specific cleanser and avoid overwashing your face. If the problem persists, a dermatologist can provide tailored advice and treatment. As for the hives and associated pain, since they are not contagious, focus on identifying potential allergens and consult a healthcare provider for further evaluation and management. Taking these steps can help alleviate your concerns and improve your skin health.

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