The condition manifests as an allergic-like reaction, causing a warm red wheal to appear on the skin. As it is often the result of scratches, involving contact with other materials, it can be confused with an allergic reaction, when in fact it is the act of being scratched that causes a wheal to appear.
The exact cause of dermatographia isn't clear. It may be an allergic reaction, though no specific allergen has been found. Simple things may cause symptoms of dermatographia. For example, rubbing from your clothes or bedsheets may irritate your skin.
Dermatographia may be an autoimmune disease. Healthcare providers and medical researchers think it might be an inappropriate response from your immune system. Your immune system registers scratching or pressure as an allergen. It sends the chemical histamine to the area to remove the allergen from your body.
Treatment for dermatographia often isn't needed, as symptoms tend to clear up on their own. But if your symptoms are bad or bother you, your health care provider may suggest a mild antihistamine medicine taken by mouth. These are sold at drugstores.
Common causes of allergic contact dermatitis are nickel, plants, chemicals, cosmetics, creams and ointments. Irritant contact dermatitis can be caused by frequent handwashing, medications used on the skin, cosmetics, dyes, chemicals, rubber and glues and plants.
Other causes of dermatographism include exercise, heat, stress, vibration and cold exposure. Diagnosis is usually based on clinical findings and corresponding history. If the diagnosis is in question, rubbing the skin with a tongue depressor can be used to elicit a reaction.
Some common autoimmune diseases, including Type 1 diabetes mellitus, are relatively easy to diagnose, while others, such as vasculitis, Addison's disease, lupus, and other rheumatic diseases, are more difficult.
Chronic hives are itchy, raised, red bumps or welts that appear on your skin at least twice per week. These welts, also called wheals, are chronic when they last more than six weeks. You may hear this condition called chronic idiopathic urticaria: Chronic: A symptom or condition that persists even with treatment.
Vitamin C: Over-the-counter vitamin C tablets might be a helpful adjunct treatment. Vitamin C is thought to help degrade and remove histamines from the body.
AVOID SCRATCHING. Scratching the rash may spread the inflammation, lead to infection and even leave scars. When there is an allergic reaction in the body, a chemical called histamine, from specialized cells in the body tissues is released.
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