Each year I see hundreds of new patients with complaints of hives and swelling. Hives are intensely itchy skin rashes that resemble welts and can occur anywhere on the body. They typically arise without warning and about half the time, are accompanied by angioedema, a deeper swelling in the skin. "Urticaria" is the technical term for hives. These skin eruptions generally last for several hours but rarely for more than twenty four hours. Hives which come and go for more than six weeks are considered chronic urticaria (CU).
Acute hives are more short-lived (less than six weeks) and often don't require an allergy specialist. Foods or drugs are common triggers of acute urticaria but triggers associated with chronic urticaria are more difficult to identify. In fact, 80-90% of the time doctors are unable to determine the cause of chronic urticaria despite comprehensive testing.
A recent article published in "Annals of Allergy, Asthma and Immunology" reported on the uselessness...
The beginning of summer kicks off the camping and hiking season, anxiously awaited by those who have endured a long cold winter. This year will likely prove to be one of the busier camping seasons as many Americans bypass more expensive vacations that involve pricey airline tickets or gas guzzling road trips. Emergency department staff will probably see a greater number of people with contact dermatitis caused by exposure to poison ivy, poison oak or poison sumac. Many people have never seen poison ivy , or perhaps wouldn't recognize it if they saw it. Poison ivy, poison oak and poison sumac belong to the plant genus Toxicodendron (previously referred to as Rhus ). Toxicodendron means "poisonous tree." These plants have an oil-based substance in the resin on their leaves and in their stems and branches called urushiol that causes a delayed skin reaction in about 50% of people that contact it. Urushiol may cause severe contact dermatitis in people that have previousl...
You will be given glucose. The doctor will review your diabetes treatment plan to help prevent future problems.
The outlook is good if the hypoglycemia is promptly detected and treated. However, long-term and repeated episodes of hypoglycemia may damage the brain and nerves.
Complications of severe or long-term hypoglycemia include:
Brain and nervous system (neurologic) damage
Calling your health care provider
Call your health care provider if you have symptoms of hypoglycemia. Be sure to mention any medications you believe may be affecting the condition.
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