Dermatographic Urticaria

Dermatographic urticaria, also known as dermatographism or skin writing, is a rare skin condition characterized by the appearance of raised, itchy welts or hives after gentle scratching or pressure on the skin.

Causes and Triggers

The exact cause of dermatographic urticaria is unknown, but it is believed to be related to an allergic reaction or sensitivity to minor physical stimuli. Common triggers include:

• Gentle scratching or rubbing of the skin
• Pressure from tight clothing or jewelry
• Minor injuries, such as cuts or scrapes
• Emotional stress or anxiety
• Certain medications, such as penicillin or aspirin

Symptoms

The symptoms of dermatographic urticaria typically appear within minutes of the triggering event and may include:

• Raised, itchy welts or hives that can be linear or irregular in shape
• Redness and inflammation of the affected skin
• Itching, burning, or stinging sensations
• Skin markings or lines that resemble writing or drawing

Diagnosis

Dermatographic urticaria is typically diagnosed based on a physical examination and medical history. A healthcare professional may use the following methods to diagnose the condition:

• Observation of the skin's reaction to gentle scratching or pressure
• Review of the patient's medical history to identify potential triggers
• Elimination of other possible causes of the symptoms, such as allergies or infections

Treatment and Management

Treatment for dermatographic urticaria typically focuses on relieving symptoms and avoiding triggers. Common treatments include:

• Antihistamines to reduce itching and inflammation
• Corticosteroid creams or ointments to reduce swelling and redness
• Avoiding tight clothing and jewelry that may irritate the skin
• Using gentle, fragrance-free soaps and moisturizers to soothe the skin

Prognosis and Complications

Dermatographic urticaria is generally a benign condition that can be managed with treatment and lifestyle changes. However, in some cases, it may be associated with other conditions, such as:

• Atopic dermatitis (eczema)
• Asthma
• Allergic rhinitis

In rare cases, dermatographic urticaria may lead to complications, such as skin infections or scarring. It is essential to work with a healthcare professional to manage the condition and prevent potential complications.