The diagnosis of "idiopathic urticaria" doctors put when it is not possible to determine the causes and occurrence of hives. And earlier almost any urticaria was diagnosed as idiopathic. However, a significant advance in understanding the mechanisms of the development and origin of this disease led even to the replacement of the term "idiopathic urticaria" with "chronic urticaria." Long-term follow-up of patients diagnosed with idiopathic urticaria showed an autoimmune cause of the disease. Now the disease is diagnosed as a chronic idiopathic if the causes are not identified.
Urticaria is most often an allergic reaction to irritants of any origin. It can manifest itself as an independent pathological process, but it can also be one of the signs of a disease. Here, the reasons can be the use of a number of medicinal products, pollen products of plants, stress, in some cases, and insect bites, sunlight, heat and cold.
However, in the case of chronic idiopathic urticaria, these factors are not causes, but provocateurs, and the cause itself lies deeper, in any existing diseases of the body.
Possible causes are
In the form of idiopathic urticaria, any infection, metabolic disorders, lupus erythematosus, Sjogren's syndrome, Hodgkin's disease, diabetes mellitus, kidney problems, alcoholic or narcotic intoxication, malignant tumors of the lungs, colon, liver, ovaries, rheumatoid arthritis, infections in the gallbladder and tonsils.
It is suggested that with idiopathic urticaria the patient has a high risk of getting into the group of lymphoma, myeloma, leukemia. That is, this disease belongs to the group of allergic diseases and the main cause here should be considered interruptions in the functioning of the immune system, in which antibodies aimed at destruction of immunity begin to degenerate and autoimmune disorders occur in the body.
Symptoms of idiopathic urticaria
With this disease, in most cases, skin reactions of varying severity are observed. The acute form of the disease lasts less than one and a half months, and the chronic course lasts much longer.
Most often, signs of chronic idiopathic urticaria are clearly delineated itchy blisters that rise above the surface of the skin, ranging in size from a few millimeters to several centimeters. They change their location, but they are constantly present, relapses can last more than six months.
Such persistent clinical manifestations, however, do not pose a threat to human life, although they significantly impair the quality of life, causing noticeable discomfort. They can also lead to disability. In patients, sleep disturbances begin, activity decreases, the emotional sphere deteriorates. Cosmetic defects gradually lead to social isolation.
Special suffering delivers a constant itching of the skin. It is noticed that such influence on the patient is akin to coronary heart disease.
Treatment of urticaria
Of course, effective treatment involves a clear understanding of the causes of the disease. It can be a concomitant disease or some that provokes the manifestation of signs of hives. Therefore, the main treatment is to determine the causes and conditions of the disease, therapy with glucocorticosteroids, antihistamines, detoxification manifestations of the disease. Fighting with unbearable itching helps Prednisolone. In the selection of the main method of treatment again used antihistamines, glucocorticosteroids, anti-inflammatory drugs, antioxidants and several others.
At the same time, the main efforts should be directed, if possible, to the treatment of the underlying concomitant disease. A significant role should be separated and prevention of both primary and associated diseases.
Physiotherapeutic procedures also help, including PUVA therapy, subaqueous baths, ultraviolet irradiation and ultrasound.
However, unfortunately, idiopathic urticaria does not heal completely.