Pigmented urticaria (Mastocytosis): what to do and how to treat?
Hello, dear readers. Skin rashes are extremely unpleasant as spoil the aesthetics of the skin and are often accompanied by discomfort.
One of these ailments is pigmented urticaria (mastocytosis) is a disease caused by the accumulation of mast cells in various tissues, including the skin.
Despite the rarity of this disease can occur in people of different ages and genders, and in the same ratio. In 75% of cases affected with mastocytosis are children.
Children’s skin is more sensitive to irritations of this sort, so it after such hives may remain pigmentation. They gradually disappear, but initially quite noticeable.
The symptoms and features of diseases
When mastocytosis on the affected skin there are visible spots of crimson or brown. Sometimes such formations appear on the surface of internal organs, but very rarely.
Often rashes are observed on the trunk and extremities. In the severe stage pigmentary urticaria spots can form on the face.
Palms, soles and scalp are not affected by mastocytosis. Rashes unpleasant sensations do not cause, but because of the aesthetic qualities of the disease is perceived negatively.
After taking a hot shower or bath tub spots may swell and increase in size. However, they are painted in bright red color. Such inflammation often accompanied by annoying itching.
The disease can develop in three phases:
Sometimes mastocytosis affects the surface of internal organs. In this form the disease is considered to be extremely malignant and dangerous. In this case, physicians predict dire consequences of a different nature.
Mastocytosis is often divided into two types: cutaneous and systemic. Skin can be divided into two subtypes: generalized (urticaria pigmented, blotchy telangiectasia, diffuse mastocytosis) and mastocytoma (itchy tumors).
Look at the photo below, clearly showing the mastocytosis in various stages.
The causes of mastocytosis
Today, there are several opinions regarding the reasons for the pigmentation of urticaria. It can be the result of benign or reverse proliferation — increase in the number of histiocytes (cells).
Urticaria often affects family members of all ages. Therefore, we can assume that the disease is genetic in nature.
The treatment of the disease
The treatment of this disease is determined individually for each patient by the attending physician, who must consider the symptoms of mastocytosis.
Often patients prescribers antihistamine action, the list of which includes: diazolin, tavegil, suprastin. Sometimes the patient’s condition begins to change for the better only after glucocorticoid therapy.
If the form of nodular urticaria appears in children, the doctor prescribes injections histaglobulina. Rashes are eliminated completely when such treatment is already the sixth course of therapy.
After a skin rash for some time may be left characteristic traces in the form of subtle pigmentation.
Pigment urticaria is commonly treated with corticosteroid ointments. In modern times such medications are almost all of the pharmacies in huge quantities, but they are sold only by prescription.
Prevention of disease
In order to prevent the development of the above disease, it is recommended to avoid thermal and other serious skin injuries.
In addition, children are encouraged to maintain and improve if necessary the immune system. To monitor the condition of the skin especially recommended for those whose relatives are faced with the hives. As mentioned earlier, the disease may be congenital (genetic).
Mastocytosis in adults may occur after improper and unprofessional performing cosmetic procedures.
Diagnosis pigmented urticaria
The doctor initially inspects the skin of a patient affected by urticaria. After that, it is advisable to determine the causes of disease.
Special attention is paid to examination of the lesions, their shape, size, density, color. Based on this, determine the type of pigment hives. The hair of the head, soles and palms can not be examined because of a rash they do not appear.
Mastocytosis may be confused with xanthomas, and pigmented nevi. The first differ from urticaria coloration that they have a yellowish and sometimes even orange. The consistency of such rashes dense and hard.
The nevi characteristic rich color of crimson or claret color. During friction, these skin lesions do not change — do not swell, not swell.
The behavior of the patient during mastocytosis
It is extremely important not to provoke pigment hives. The formation of skin may become inflamed accompanied by itching. Further development of the disease can be prevented if you follow simple rules:
To avoid friction is to wear clothes made of natural fabrics, mostly soft, unable to RUB and irritate a rash. While swimming is not recommended to scrub the affected areas of the skin with a washcloth.
Itch is also not necessary, as you can accidentally damage the inflamed skin. In case of itching it is recommended to apply treatment ointment with a cooling effect that will soothe irritated skin.
It is not recommended to overheat or strongly cooling the skin where you have rashes. Overheating often occurs when bathing in very hot water. Patients with mastocytosis are advised to take a bath with a temperature not exceeding 30⁰.
The affected skin should be protected from hypothermia, which also can cause inflammation rashes.
Some argue that urticaria retreating after sunbathing. Tan, as we know, often has a negative impact on the skin.
On this basis, the sun’s rays only provoke inflammation of patches of mastocytosis. Fire also produces a certain kind of overheating of the skin, including inflamed.
To make prevention of helminths — worms, to be exact. Oddly enough, but in humans, the worms can occur for various reasons.
Such parasitic creatures, sometimes living in the human body, weaken and literally eat gradually, the body, which negatively affects the immune system. By the way, the immune system when mastocytosis should be supported.
Be sure to be seen by a doctor. A dermatologist can determine the cause of the hives. Therefore, it is able to assign the most effective treatment, which is important to make the time.
Otherwise, combat will be more difficult. Established spots leave behind more traces, which is also important. Be healthy!
Author: Anna Derbeneva (dermatologist)