Brief Answer:
History and pictures required

Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the skin lesions but its difficult to point specific diagnosis in absence of clinical examination.
Therefore, I insist you to post good clinical pictures and history in brief regarding the condition, so that I can help you in a better way. You can upload the image on the right side of this query page or
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

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Brief Answer:
Oral antihistaminics

Detailed Answer:
Hello,
Thank you for the images.
From keen review, I would like to put provisional diagnosis of delayed pressure urticaria (DPU).
Urticaria is a type of allergic skin rash.
DPU is a rare variant of urticaria where the chief cause/ allergen is pressure and here typically the rash occurs after delay of 6-8 hours and lasts for few days.
The rash occurs over the sites of chronic pressure and consist of raised welts which may be itchy or painful.
Its proper management requires a thorough consult with a dermatologist, who would advise certain investigations.
Treatment includes oral antihistaminics and oral corticosteroids. Topical corticosteroids can be applied over affected areas.
Other useful drugs are montelukast,cyclosporine, dapsone, omalizumab etc.
Try to avoid tight clothing and avoid chronic pressure or friction of any body area.
Hope you get well soon.
Thanks
Dr Hardik Pitroda

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