[21F] Experiencing hives and swollen lymph nodes

Patient Description

A 21-year-old female is presenting with hives that appear on various parts of her body, including legs, back, neck, arms, and head. The hives are large, raised, red, and itchy, and they worsen upon scratching but subside when left alone. The patient also reports tender, hard, swollen lymph nodes under her jaw, which have been present for a couple of days and fluctuate in size. She has not experienced any changes in weight, difficulty swallowing, or pain associated with the lymph nodes. Additionally, she has been dealing with severe night sweats for the past two nights. The patient has a history of low iron and is currently taking iron supplements. She has an allergy to colophony and has recently started a new birth control pill, Tricira Lo-28. She suspects that a new laundry detergent and soap or the birth control could be potential triggers for her symptoms. She has been applying Benadryl cream and aloe vera gel for symptomatic relief, which provides minimal improvement. There are no known drug allergies, and she has not been exposed to anyone with similar symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Allergic Reaction: The hives, itching, and swollen lymph nodes could be signs of an allergic reaction. This could be due to the new laundry detergent, soap, or birth control you've started using recently.

    • Treatment typically involves avoiding the allergen and taking antihistamines to control symptoms. In severe cases, corticosteroids or epinephrine may be needed.
  • Drug Reaction: Some medications can cause a rash and other symptoms. As you've recently started a new birth control, this could be a possibility.

    • Treatment usually involves stopping the medication (under the guidance of a healthcare provider) and managing symptoms.
  • Viral Infection: Some viral infections can cause hives, swollen lymph nodes, and night sweats.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.

What you can do

  1. Avoid scratching the areas with hives as much as possible. This can worsen the hives and potentially lead to infection.
  2. Continue using the Benadryl cream and aloe vera gel to help with the itching.
  3. Try to identify any potential allergens and avoid them. This could include the new laundry detergent, soap, or birth control.
  4. Stay hydrated and rest as much as possible.
  5. Consult a healthcare provider for a formal diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • Swelling of the face, lips, or tongue
  • A rash that spreads rapidly
  • Fever or chills
  • Severe abdominal pain

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are common triggers for hives and how can they be avoided?

Common triggers for hives include certain foods, medications, insect stings, stress, and contact with allergens like new detergents or soaps. To avoid them, identify and eliminate exposure to known allergens, and consider keeping a diary to track potential triggers.


Can birth control pills cause allergic reactions or hives?

Yes, birth control pills can cause allergic reactions in some individuals, leading to symptoms like hives. If you suspect your birth control is causing an allergic reaction, consult with a healthcare provider to discuss alternative options.


What are the signs that swollen lymph nodes might indicate a more serious condition?

Swollen lymph nodes can be a sign of a more serious condition if they are accompanied by symptoms like unexplained weight loss, persistent fever, night sweats, or if they remain enlarged for an extended period. It's important to consult a healthcare provider if these symptoms occur.


How can night sweats be related to allergic reactions or other health issues?

Night sweats can be related to allergic reactions, infections, or hormonal changes. If they persist or are accompanied by other symptoms like fever or weight loss, it is advisable to seek medical evaluation to determine the underlying cause.


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