What Are Treatments for Dermatographic Urticaria?


Quick Answer

Dermatographic urticaria usually resolves without treatment, according to Mayo Clinic, but in severe or bothersome cases, antihistamines are prescribed. Light therapy is helpful sometimes, notes Medscape. Earth Clinic describes natural remedies that include topical or oral use of apple cider vinegar and consuming an anti-inflammatory diet.

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Full Answer

Mayo Clinic explains that dermatographic urticaria is a condition in which raised hive-like wheals appear on a person's skin in response to light scratching. The cause is not known, but infections, stress and medications may trigger the condition. The wheals normally disappear with 30 minutes with no treatment, but diphenhydramine (Benadryl), fexofenadine (Allegra) or cetirizine (Zyrtec) are sometimes recommended to treat severe cases. Sometimes two medications are combined, notes Medscape, and the patient may need to take the medications for several months.

Medscape reports that narrowband ultraviolet UV-B phototherapy and oral psoralen plus UV-A light therapy have been used successfully to treat the condition. Results normally last for two or three months.

To manage dermatographic urticaria, Medscape advises avoiding stimuli that trigger the reaction, reducing stress and using moisturizers to limit scratching due to dry skin. Earth Clinic suggests an anti-inflammatory diet to help manage the condition, which WebMD says is similar to the Mediterranean diet. Avoiding refined and processed foods, limiting trans fats and refined carbohydrates while consuming plenty of fruits, vegetables, whole grains, omega-3 fatty acids, lean protein and spices is recommended.

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