A 12-year-old boy is brought to the office for evaluation of hives. He has no significant past medical history and no history of allergies. He has just joined the middle school soccer team and noticed that he gets hives about 10 minutes into practice. The hives are itchy and consist of irregular blotches on his legs and trunk, about 10–20 cm in size, and they persist for about 30 minutes. He does not experience swelling of the lips or oropharynx and denies any wheezing or shortness of breath. His physical examination is normal without skin lesions or oral swelling at that moment, and his lungs are clear. After evaluation, he is diagnosed with urticaria.

1. Discuss the likely cause of the patient’s urticaria.
2. Describe the cellular mechanism of urticaria and how it leads to the signs and symptoms experienced by the patient.
3. Describe the relationship between the patient’s symptoms and the concept of inflammation.
4. What pharmacological and non-pharmacologic treatment options are available?
5. Discuss the complications of urticaria.
6. What teaching would be appropriate to provide the parent and child about urticaria?

Support your response with at least one current evidence based resource

Solution:

Discuss the likely cause of the patient’s urticaria.

As defined by Deza and Giménez-Arnau (2016), urticaria in other names hives, welts, wheels, or nettle rash is a raised and itchy bump on the skin that occurs due to an allergic reaction of the body. It may appear on a certain body part or spread in various areas. There are various causes of urticaria. In this patient, it is noted that he develops the hives 10 minutes into soccer practice that he recently joined. Therefore, physical exercise can be concluded as the cause of urticaria in this patient.

Describe the cellular mechanism of urticaria and how it leads to the signs and symptoms experienced by the patient.

The interaction of the body with an allergen results in the production of histamine and other chemical substances into the dermis from mast cells as well as basophils…..Please click the icon below to purchase full solution at $5