A 24 year old woman complains of recent onset of severe itching and weals which followed a viral infection. She is unable to sleep at night due to the itch. On inspection, numerous weals of all sizes are noticed on his skin. The weals tend to come and go within hours. Eyelids, lips and tongue appear normal with no swelling. What is the SINGLE most appropriate management?
C. Ursodeoxycholic acid
The typical lesion is a central itchy white papule or plaque due to swelling of the surface
of the skin (weals). This is surrounded by an erythematous flare. The lesions are
variable in size and shape and may be associated with swelling of the soft tissues of the
eyelids, lips and tongue
Individual lesions are typically transient. They come and go within a few minutes to
- Where possible, identify and treat the cause. Nonspecific aggravating factors
should be minimised, such as overheating, stress, alcohol, and caffeine
- Antihistamines: Non-sedating H1 antihistamines are the mainstay of treatment.
In pregnancy chlorphenamine is often the first choice of antihistamine