Sudden Skin Allergies: Causes, Symptoms, and Treatment - Dermatology

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Skin allergy


Hello! I have never had skin allergies before, but about a month ago, I suddenly developed raised red spots that are very itchy on the joints of both legs, knees, thighs, fingers, and finger joints.
I applied a common ointment for insect bites, and after enduring the discomfort for a long time, the raised red spots and itching subsided.
However, this type of symptom has reappeared intermittently, and the affected areas are still the same as mentioned.
Could this be a common skin allergy? Should I seek medical attention? Reflecting on the past month, my diet, home, work environment, and daily routine have all been normal without any changes.
Why would these symptoms appear suddenly? Could this be a warning sign from my body? How should I prevent this and seek medical care? Thank you!

Xiao Jin, 40~49 year old female. Ask Date: 2006/12/04

Dr. Jiang Yujiao reply Dermatology


Hello: In response to your question, your symptoms are more indicative of a skin allergy - urticaria (hives).
Urticaria is classified as a Type I hypersensitivity reaction, which occurs very rapidly.
Upon contact, inhalation, or ingestion of an allergen, reactions can manifest within minutes to hours and typically resolve within 24 hours.
This is related to changes in your constitution; stress and physical discomfort can make you more susceptible to allergies, such as gastric ulcers, gastrointestinal inflammation, dental caries, sinusitis, and fungal infections.
It is advisable to avoid consuming or inhaling substances that are more likely to trigger allergies, such as additives, preservatives, chemical dyes, dust, and mold.

Reply Date: 2006/12/04

More Info


Hello! It sounds like you are experiencing a sudden onset of skin allergies, which can be quite distressing. Based on your description, the symptoms you are experiencing—itchy, raised red spots on the joints, knees, thighs, and fingers—are consistent with a type of skin reaction known as urticaria, commonly referred to as hives. This condition can occur for a variety of reasons, and understanding the underlying causes, symptoms, and treatment options is essential for managing your situation effectively.


Causes of Sudden Skin Allergies
1. Allergic Reactions: Allergies can develop suddenly, even if you have never experienced them before. Common allergens include certain foods, medications, insect stings, and environmental factors like pollen or pet dander.

2. Physical Triggers: Conditions such as dermatographism (a form of physical urticaria) can cause raised welts on the skin when it is scratched or subjected to pressure. This might explain the raised red spots appearing in areas where you may have scratched or where clothing may be tight.

3. Infections: Viral or bacterial infections can sometimes trigger skin reactions, leading to rashes or hives.

4. Environmental Factors: Changes in temperature, humidity, or exposure to irritants (like soaps, detergents, or fabrics) can also provoke skin reactions.

5. Stress: Emotional stress can exacerbate skin conditions, leading to flare-ups of existing allergies or the development of new ones.


Symptoms
The symptoms you described—itchy, raised red spots—are typical of an allergic reaction or urticaria. These spots may vary in size and can appear suddenly. They often resolve on their own within a few hours but can recur. Other symptoms might include swelling, particularly around the eyes and lips, and in severe cases, difficulty breathing (anaphylaxis), which requires immediate medical attention.


Treatment Options
1. Antihistamines: Over-the-counter antihistamines (like cetirizine or loratadine) can help alleviate itching and reduce the appearance of hives. These medications block the action of histamine, a substance in the body that causes allergic symptoms.

2. Topical Treatments: Applying soothing lotions or creams, such as calamine lotion or hydrocortisone cream, can help relieve itching and inflammation.

3. Avoiding Triggers: Keeping a diary of your symptoms and any potential triggers can help identify what might be causing your reactions. Avoiding known allergens or irritants is crucial.

4. Consulting a Dermatologist: Since your symptoms have persisted and are recurring, it is advisable to consult a dermatologist or an allergist. They can perform tests to identify specific allergens and recommend appropriate treatments.

5. Lifestyle Adjustments: Maintaining a stable environment, managing stress, and ensuring proper skin care can help reduce the frequency of flare-ups.


When to Seek Medical Attention
If your symptoms worsen, if you experience swelling of the face or throat, or if you have difficulty breathing, seek emergency medical attention immediately. These could be signs of a severe allergic reaction (anaphylaxis), which is life-threatening.


Conclusion
In summary, while your symptoms may indicate a common allergic reaction, the sudden onset and recurrence warrant a thorough evaluation by a healthcare professional. They can help determine the exact cause of your symptoms and provide tailored treatment options. In the meantime, consider keeping track of your symptoms and any potential triggers, as this information can be invaluable during your medical consultation. Remember, early intervention can lead to better management of your skin condition and improve your quality of life. Thank you for your question, and I wish you the best in finding relief from your symptoms!

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