urticaria

Question 1

features of urticaria

Answer 1

pale, pink raised skin
“hives” “wheals” “nettle rash”
pruritic

Question 2

management of urticaria

Answer 2

1st = non-sedating antihistamine
- **loratadine, cetirizine **
- continue for 6weeks

sedating histamine for night time use if trouble sleep (in addition to day time non-sedating)
- chlorphenamine

severe/resistant episodes = prednisolone

Question 3

drugs which commonly cause urticaria

Answer 3

aspirin
penicillins
NSAIDs
opiates

Question 4

commonest skin disorder in pregnancy, describe it

Answer 4

atopic eruption of pregnancy
- eczematous, itchy red rash

no treatment needed !

Question 5

polymorphic eruption of pregnancy

Answer 5

pruritic condition assoc with last trimester

• lesions often appear on abdominal striae

Question 6

polymorphic eruption of pregnancy management

Answer 6

emollients
mild potency steroids
oral steroids

(depends on severity)

Question 7

pemphigoid gestationis

Answer 7

pruritic blistering lesions
- develop in peri-umbilical region, later spreading to trunk, back + bum

usually 2nd or 3rd tri
- rarely seen in 1st pregnancy

Question 8

management of pemphigoid gestationis

Answer 8

oral corticosteroids