Concluded Case

Urticaria of unknown origin

Lady aged 29yrs complaining of urticaria since 3 months, she doesn't know what could be the cause,even simple eating cause urticarial rashes with swelling of face . Cbc normal,ige levels was done please help in managing case.@Shivraj Agarwal sir

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Vary high igE 735 Suggest pt is allergic to some article which need to be searched Treat as chr urticaria Inj histaglobe 1vial /sc weekly for 2months and followed at monthly interval till desired effects than keep 3monthly followup Orally start tab dispred4mg 1tds for 7to15 days and tapper off gradually and keep on maintenance dose Tab fexofenadine180mg+tab monteleukast 10mg 1od Tab ranitidine 150mg 1bd Deworming Locally atarax lotion and moisturisers frequently Sos if lesions are erupting opt for clop-s nano lotion Do AEC and hetrazan may be added Look for food clothings Contacts and toiletries any thing may be allergic
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Vary high igE 735 Suggest pt is allergic to some article which need to be searched Treat as chr urticaria Inj histaglobe 1vial /sc weekly for 2months and followed at monthly interval till desired effects than keep 3monthly followup Orally start tab dispred4mg 1tds for 7to15 days and tapper off gradually and keep on maintenance dose Tab fexofenadine180mg+tab monteleukast 10mg 1od Tab ranitidine 150mg 1bd Deworming Locally atarax lotion and moisturisers frequently Sos if lesions are erupting opt for clop-s nano lotion Do AEC and hetrazan may be added Look for food clothings Contacts and toiletries any thing may be allergic
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Chronic urticaria Antihistaminics, monteleukast, htdroxyzine ,steroids are usually tried . Effort should be made to identify allergen and avoid it . Cholinergic urticaria should be excluded. Avoiding a) hot spicy food, b) exposure to hot sunlight, c) tight clothing, d) intense exercise, Cholinergic urticaria can be prevented. Autohemotherapy may have a role in treatment .
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Rx Tab. Zenflox oz BD Tab. Monticop OD Cap vitazyme BD Cap. Levosulpiride BD Tab Allegra 180.mg sos Original Honey stomach empty use..
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Tab Atarax 10 bd, Tab Bandy plus one Tab once in a week for four such, Inj Histaglob one vial sc once in a week for four such
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Bilafaf( Bilastine) 20 mg od Omeprazole 20 mg once daily Caladryl lotion to apply. Bandy 400mg at bedtime
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Deworming Inj Histoglobulin 250 I u weekly for 3 weeks SC Tab Medrol 8 mg b d Tab Levocet 1 b d
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* BILASTINE..20MG ..OD .. * DEWORMING WITH ALBENDAZOLE.. * PPI..SOS..
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Worm infestation. Albebandazole .+ Ivermecetine
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Pumpkin Seeds. Pumpkin seeds are an extremely effective deworming agent because they contain an amino acid called cucurbitacin. ... Carrots. These common orange vegetables are a great source of vitamin A and believe it or not, can get rid of worms in our canine companions. ... Coconut. ... Apple Cider Vinegar. ... Turmeric. ... Chamomile.
In view of highly elevated IgE, she seems to hsve either food allergy or ch.Worm infestation or dust like micro energy. Consult allervy specialist.
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