Allergies Forum - Pressure Urticaria
Medical questions     Health forums     Help     log in    

Pressure Urticaria

New Topic  Reply  Ask A Doctor - Offline
Medical Questions-> Health Forums -> Allergies -> Pressure Urticaria
Medical Questions
Author Message
hlhg

New User, Becoming EHEALTHy
Joined: 29 Apr 2008
Posts: 6
Thanks: 0
Thanked:1
Pressure Urticaria
Posted: 04-29-08 15:10pm

I am so glad Very
Happy that I found this site to share my problem, hoping that I would find someone that might have had similar things (not hoping somebody else has it Sad .

A dozen doctors haven been stumped by my rare skin/nerve condition for the last four years. I have searched far and wide and have asked hundred of people. I could not even get a sure diagnosis of it. No second person has had it or heard about it.

Symptoms –
· My thigh and butt skins burn and sting when sitting down and under pressure. The pain goes away as soon as the pressure is relieved when I stand up.
· The skin is very sensitive. Can’t even bear clothes seams or even the “peach fuzz” on the surface of fabric. Likes smooth and hard surface.
· No rashes or visible physical signs on the thigh and butt skin. No loss of strength. No impact on any other physical activities. Very rarely, I felt and itch on the skin and when I scratch, some bumps appeared and went away quickly.
· Did have redness under pressure and dermatography, but that has been largely gone for a couple of years.
· No particular food or situation that made it worse.

Diagnosis and Treatment –
· Have seen three neurologists. All tests are fine. None of the treatment worked.
· Have seen dermatologist and allergist. None of the treatment worked.
· The closest thing is Pressure Urticaria according to the allergist. But, the symptoms do not match up. His last prescription is “to pray” and I have been doing that.

Other related information
· I have searched far and wide and talked to hundreds of people. No second person has it or has heard about something similar. This is the most surprising.
· I had stopped taking aspirin for my migraine after I read that it may trigger pressure urticaria. It has not changed anything.
· I work for an Aluminum Company, but I rarely get in touch with aluminum.
· I travel a lot in my job and this has been really debilitating in sitting.
· After four years, I am thinking that it is a strange cross between dermatology and neuro.
· It has not improved much, it is just I have learned how to cope with and tolerate it.
· I have also talked and asked my medical insurance company and they are of no help.

Has anybody experienced similar things? Your help is greatly appreciated.

Regards,
Hong
|
MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Hi, Hong!
Posted: 05-16-08 05:52am

Do you find your symptoms to be most prominent at the outside of your hip and thigh?
Are you getting pain, burning and tingling sensations along the outside of the thigh, usually accompanied by a burning numbness in the skin?
Have you noticed that light touch is more painful than deep pressure?
|
Users who thank MandMs for this post: hlhg 
hlhg

New User, Becoming EHEALTHy
Joined: 29 Apr 2008
Posts: 6
Thanks: 0
Thanked:1
Skin Hypersensitivity
Posted: 05-18-08 11:15am

Dear MandMs,

I am re-posting my reply here.

What you described below (copied from your post) are exactly the fine details of my symptoms, most prominent at the edges of the area under pressure, particularly under the thigh at the front edge. It seems it is always the worse in the transition zone from pressured to un-pressured or less pressured areas, which is why I have to wear smooth cloth and sit on smooth and hard surface. The burning numbness sensation has also been getting more prominent and I get it down my legs to my foot. I have to stand up and walk around as much as I can. Since I do stand a lot, my feet and heels are also hurting. Not so much that lighter touch is more painful, but I do notice that as long as there is any pressure difference, I get the worst pain in the pressure transition region.

yes I am so delighted to get a reply and I am so thankful that I finally found someone that understands my debilitating problem so well.

I have not found any other posts from you on the same subject. Maybe I did not know where to look in the ehealth forum. Can you point it out to me or post to me any help you can offer.

A million thanks!!!

Hong
|
MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10

Posted: 05-19-08 03:46am

You are welcome "more than a million times", as much as I can be of help!

I don't have anything similar written on other topics, so, that's why you couldn't find it!
I was reading and leaving your post unanswered for days, but I decided not to skip it for one more time.
I'm very glad you are happy for my reply and I'll be happier if your problem is diagnosed finally.

Do you get these symptoms on one leg only?
Is the burning sensation usually becoming intolerable?
Do you get dull pain in the groin area or across your buttocks less commonly?
Do you find changes in posture or prolonged sitting or standing may cause a fluctuation of symptoms (the discomfort may resolve spontaneously and reappear)?
Have you noticed that warm water from shower feels like it is burning the area?
Does extending the thigh posteriorly reproduce or worsen the tingling and burning sensation?


Best wishes!
Marija
|
hlhg

New User, Becoming EHEALTHy
Joined: 29 Apr 2008
Posts: 6
Thanks: 0
Thanked:1
Skin Hypersensitivity
Posted: 05-19-08 10:56am

Thanks for your kindness and your patience. I feel like that you are the angel God has sent in answering my prayers. Below are my answers to your questions:

(MandMs) Do you get these symptoms on one leg only?
(Hong) both legs or where ever is under pressure.

(MandMs) Is the burning sensation usually becoming intolerable?
(Hong) The pains worsens and becomes very intolerable if I sit still in a position for a while (30 minutes), do not move or wriggle around in my seat or without standing up to relieve the pressure.

(MandMs) Do you get dull pain in the groin area or across your buttocks less commonly?
(Hong) Pain is the most prominent in the thigh area at the front edge of pressured area. In comparison, the groin region feels less pain.

(MandMs) Do you find changes in posture or prolonged sitting or standing may cause a fluctuation of symptoms (the discomfort may resolve spontaneously and reappear)?
(Hong) The pain goes away with pressure. I therefore have to change my postures or wriggle around frequently in my seat to relieve the pressure and the pain. Not sure if this is what you meant by fluctuation. The only problem of standing is my feet and heels start to hurt if I stand still without moving for a while.

(MandMs) Have you noticed that warm water from shower feels like it is burning the area?
(Hong) no really.

(MandMs) Does extending the thigh posteriorly reproduce or worsen the tingling and burning sensation?
(Hong) Do not quite understand what you mean here. My pain goes away as soon as pressure is taken off or is lessened if I can reduce the pressure. I do try to sit with as much thigh area under pressure as possible so the pressure per unit area is reduced. It may help a bit temporarily, but I still have to move around frequently in my sitting position.

Hong
|
MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Hi, Hong!
Posted: 06-03-08 04:54am

Sorry I haven't written to you for a long period!
Thank you very much for the kind words.


Were the symptoms preceded with a motor vehicle accident, surgery, weight loss and obesity, or body weakness?
Do you have some other medical problems, like diabetes?
Can you check if putting pressure in your groin area may elicit tenderness or exacerbate the symptoms?


Have a good day!
Marija
|
hlhg

New User, Becoming EHEALTHy
Joined: 29 Apr 2008
Posts: 6
Thanks: 0
Thanked:1
Pressure Urticaria
Posted: 06-03-08 09:50am

Dear Marija,

Not a problem. Being in medical school and a mom of a 3 year old is not easy. Appreciate it even more that you provide so much support on ehealth. Saw in the news that you have just had an election.

I would say no to all of the following questions. I am in excellent health and do not have diabetes, although my father has had a mild one for over 15 years. He is now 78 and his diabetes is still very mild and well under control. His mother died from diabetes although that was almost 50 years. They basically did not know what it was and exacerbated it by giving her more sugar. Sugar was a scarce and luxury item in those days in China. Other than this pressure problem, I am pretty much free of any other problems (one problem - insomnia when I travel). I play sports and my mobility and strength are not impacted a bit. My knees are weaker. That comes with age.

Thanks!

Regards,

Hong


Were the symptoms preceded with a motor vehicle accident, surgery, weight loss and obesity, or body weakness?
Do you have some other medical problems, like diabetes?
Can you check if putting pressure in your groin area may elicit tenderness or exacerbate the symptoms?
|
MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Dear Hong!
Posted: 06-09-08 04:48am

You are welcome!
I have suspected that you may suffer from condition called Meralgia paresthetica (thigh pain).
It's a painful mononeuropathy of the lateral femoral cutaneous nerve (this nerve is responsible for the sensation of the anterolateral thigh), commonly due to focal entrapment of this nerve as it passes through the inguinal ligament. It can be also caused by direct trauma, stretch injury, or ischemia (lack of blood).
In most cases, symptoms are one sided, but, there are cases of both sides being affected.

I'll suggest you to visit a neurologist (the diagnosis can be confirmed by nerve conduction studies) or an orthopedist, and talk with them about possibilities of having these condition.


Waiting for your post!
Marija
|
hlhg

New User, Becoming EHEALTHy
Joined: 29 Apr 2008
Posts: 6
Thanks: 0
Thanked:1
Skin Hypersensitivity
Posted: 06-09-08 12:23pm

Dear Marija,

I have tried three neurologists including a neurology professor at University of California at Los Angeles although not an orthopedist yet. What you said makes sense. I will take your recommendation and talk with my family physician, my neurologist and an orthopedist. If nothing else, at least eliminate some possibilities. I will let you know.

In the meantime, do you have any suggestions on insomnia when I am traveling. I sleep soundly at home for at least 8 hours a night. But I developed this fear of not being able to sleep when I am traveling a year ago and it has really been a nuisance. I sleep a short 4 hours a night and thus can not be very efficient. I am traveling in two days and that fear or that pink elephant is already creeping in.

Thanks.

Regards,

Hong



You are welcome!
I have suspected that you may suffer from condition called Meralgia paresthetica (thigh pain).
It's a painful mononeuropathy of the lateral femoral cutaneous nerve (this nerve is responsible for the sensation of the anterolateral thigh), commonly due to focal entrapment of this nerve as it passes through the inguinal ligament. It can be also caused by direct trauma, stretch injury, or ischemia (lack of blood).
In most cases, symptoms are one sided, but, there are cases of both sides being affected.

I'll suggest you to visit a neurologist (the diagnosis can be confirmed by nerve conduction studies) or an orthopedist, and talk with them about possibilities of having these condition.


Waiting for your post!
Marija
|
MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Hello!
Posted: 07-07-08 13:36pm

Have you visited a doctor already?

Do you suffer from insomnia only before traveling?
Do you usually worry excessively about sleep and the effects of sleep (being tired next day due to lack of sleep)?
Have you felt increased agitation and tension as bedtime approaches?
Is the tension and worrying about sleep increasing through the night?
|
Related Topics
This Forum This Category All Forums
Jump to:  
New Topic   Reply
Medical Questions -> Health Forums -> Allergies -> Pressure Urticaria



We comply with the HONcode standard for trustworthy health
information:
verify here.