[20F] With cold-induced swelling, itching, and burning
Patient Description
A 20-year-old female reports experiencing swelling, itching, and burning sensations on any part of her skin (fingers, ears, arms, legs, etc.) when it comes into contact with cold or ice for just a few seconds. These symptoms started when she entered high school and have persisted since. The swelling is gradual and can last for at least half an hour, depending on the duration of cold exposure. The itching is intense and accompanied by a sensation of heat from the skin when scratched. No similar symptoms are reported in others around her.
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Arora's Assessment
What might be happening
Based on the information you have provided, a possible diagnosis is:
- Cold Urticaria: This is a condition where your skin reacts to cold temperatures by developing hives or welts. When your skin is exposed to cold, it can swell, itch, and burn. This reaction can occur on any part of your body that comes into contact with cold air, water, or objects.
- Typical Treatments: Treatment often involves avoiding cold exposure and taking antihistamines to manage symptoms. In some cases, doctors may prescribe stronger medications or recommend other treatments to help control the condition.
What you can do
While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:
- Avoid Cold Exposure: Try to stay warm and avoid direct contact with cold objects, air, or water. Wear warm clothing, especially in cold weather.
- Use Antihistamines: Over-the-counter antihistamines can help reduce itching and swelling. However, consult a doctor before starting any medication.
- Keep Your Skin Moisturized: Use a good moisturizer to keep your skin hydrated, which can help reduce itching and irritation.
- Journal Your Symptoms: Use MDandMe to track your symptoms, note any triggers, and monitor your progress. This information can be valuable for your healthcare provider.
What you should look out for
Reasons to see a doctor more urgently include:
- Severe Reactions: If you experience severe swelling, difficulty breathing, or any other serious symptoms, seek medical attention immediately.
- Persistent Symptoms: If your symptoms do not improve with self-care measures or worsen over time, consult a healthcare professional.
- New Symptoms: If you develop new or unusual symptoms, it's important to get them evaluated by a doctor.
Remember, while this information can help you understand your condition better, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.
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4 mo ago