[25M] Experiencing sudden onset of hives and swelling

Patient Description

A 25-year-old male presents with sudden onset of hives along both arms and palms, accompanied by swelling of the fingers and eyelids. The patient reports no known allergies and the symptoms appear to be acute. The most bothersome symptoms are the hives on the hands and the associated swelling of the fingers.

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Arora's Assessment

What might be happening

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

  • Urticaria (Hives): This is a common skin reaction that causes itchy, raised welts, which can appear anywhere on the body. Urticaria can be triggered by many things, including certain foods, medications, or other irritants. Even though you don't have known allergies, it's possible to develop new allergies or reactions.

    • Treatment typically involves antihistamines to reduce itching and inflammation. Avoiding known triggers is also important.

  • Angioedema: This is a related condition that causes swelling beneath the skin, often around the eyes and lips. In your case, it could be causing your swollen fingers and eyelids.

    • Treatment usually involves medications to control the swelling and itching.

  • Contact Dermatitis: This is a skin reaction caused by contact with certain substances. The substances could be something new in your environment, or something you've been in contact with for a long time.

    • Treatment involves avoiding the substance that's causing the reaction. Corticosteroid creams can help reduce inflammation and itching.

What you can do

  1. Seek immediate medical attention if your symptoms worsen, if the hives or swelling spread to other parts of your body, or if you have difficulty breathing.
  2. Over-the-counter antihistamines may help with the itching and swelling, but it's important to follow the package instructions.
  3. Try to identify any new substances you've come into contact with recently, as they may be causing your symptoms. This could include new soaps, detergents, foods, or plants.

What you should look out for

  • Difficulty breathing or swallowing, which could indicate a severe allergic reaction.
  • Hives or swelling that spread to other parts of your body.
  • Symptoms that don't improve with over-the-counter treatments.

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

People Also Ask

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

Common triggers for hives include certain foods, medications, insect stings, stress, and environmental factors like pollen or pet dander. To avoid them, try to identify any new substances or changes in your environment that coincide with the onset of symptoms and eliminate them if possible.

How can I differentiate between hives and angioedema?

Hives are typically raised, itchy welts on the skin, while angioedema involves deeper swelling beneath the skin, often around the eyes, lips, or extremities. Angioedema may not be as itchy as hives but can be more painful.

What over-the-counter treatments are effective for hives and swelling?

Over-the-counter antihistamines, such as cetirizine or loratadine, can help reduce itching and swelling. It's important to follow the dosage instructions on the package. Topical corticosteroid creams may also help with localized itching and inflammation.

When should I seek medical attention for hives and swelling?

Seek medical attention if you experience difficulty breathing or swallowing, if the hives or swelling spread to other parts of your body, or if symptoms do not improve with over-the-counter treatments. These could be signs of a more severe allergic reaction.

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