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urticaria

Urticaria hypersensitivity reaction is characterized  with short lived ,itchy weals which can be pale or pink in center ,surrounded by red flare caused by transient run of plasma through little blood vessels ,usually as results of unharness of amine through skin mast cells on response to substance pathological process -Urticaria  is caused by transient run of plasma through blood vessels due to unharness of amine ,kinine,leukotrine through the mastocyte of skin on response to any substance -histamine is cause itch by stimulating nerve end receptor ,other mediators kinine and leukotrine square measure inflicting vasopermeability  -therefore fretful weals develops on response to substance agitating factors (1)Drugs antibiotic drug, sulphonamides,aspirin,phenation,salicylate,foreign Sera,insuline  (2)foods  -milk,Moog dal,masoor dal,eggs ,peas fish (3)inhalant -Pollan\'s,fungi,insecticides,house mud (4)infections-chronic septic foci,urinary tract infection,viral infection,candidial infection,protozoal and helminthic infections (5)food additives -yeasts ,citric acids, azo dyes,benzoic derivatives (6)Emotional stress  (7)general medical unwellness Lupus , blood disorder,thyrotoxicosis, macro simple protein genus Maja etc sorts  (1)ordinary hypersensitivity reaction Reccurent hypersensitivity reaction is termed normal if there\'s no perominant physical cause. (2)physical hypersensitivity reaction Physical hypersensitivity reaction is any outline by the triggering stimulation (a)demographic hypersensitivity reaction it\'s eliciated by touching the skin firmly with the blunt instrument (b)cold hypersensitivity reaction it\'s manufacture as a result of contact with ice or generalised chilling  (c)heat or cholinergic hypersensitivity reaction made by heating 

3)contact hypersensitivity reaction made by direct contact with specific allergens like preservatives ,fragrances or some seasoning agent (4)urticaria rubor within which patient has little vessels rubor caused by immune complicated deposition on response to triggering factors (5)angio-oedema Deeper swelling of the skin and connective tissue square measure term  as angio-oedema whis is sometimes within the mouth,on the eyelides or on the private parts. Managment (a)remove identical contributory issue (b)expalanation and data regarding hypersensitivity reaction (c)cooling lotion like mineral or zero.5%menthol in binary compound cream (d)avoid salicylate,nsaids medication,codeine (e)minimize stress (f)stop alcohole and over ingestion (g)exclude diet that cause episode in past (h)prescribe tab cetrizine or loratidine on witb tab Prelone 10mg for week  I)if it\'s not controls by on top of regimein offer him immunotheraies

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