Hello doctor, I am a 20-year-old man. For past three months, I am suffering from rashes on my skin. It is usually occurring at night. I have seen two dermatologists. Both of them have not been able to identify the cause. Now I am in a big trouble that I am getting irritated. Sometimes my lips swell. My eyes also swell. It is occurring as red bubbles which are big in size. The bubbles are like ant bites. I have been tested for allergies and thyroid. But, the results were good. So, the doctors were unable to identify the cause. Now should I conduct any further tests? Is this any serious skin problem like skin cancer? I am very tensed. I am not able to concentrate fully on my studies due to this. Please help me. I have attached pictures for your reference.
Hello. I saw your clinical picture (attachment removed to protect patient identity) Your clinical diagnosis is urticaria. You have mentioned that you have this issue for three months. So, to be more precise it is chronic spontaneous urticaria. Most common causes of urticaria are infection anywhere in the body, dental infection, urine infection etc., infestation with worms in stool, common in children, indigestion of any medicine, food intake which you are allergic to, any injection or insect bite medicine, or any implants like tooth implants. But most of the time, the cause will be not found, it is called idiopathic urticaria. You need detailed investigations because you are noticing swelling of lips and eyes. This is called angioedema. You need an antihistamine or an anti-allergy medicine round the clock, and to suppress the rashes and swelling, you need corticosteroids. I would suggest you consult a dermatologist in any good medical college where there will be all investigations available. If you are experiencing swelling of lips and eyes, please do not delay, visit a medical institute. For more information consult a dermatologist online -->