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What Does My MRI Scan Report Indicate?
Question: Wanted to get dermatology opinion. Â
I have been getting random pins and needles throughout my body, mainly arms, hands, thighs, torso, Â face. Â These come on fast and can spread from area to area in seconds. They come in go in seconds to.mintues. Â Some days I have them some days I don't. I also got a general hypersensitive skin feeling from it, where I don't want to be touched anywhere. This may be neurological but I wanted to get your expert dermatology opinion. No triggers, but heat makes them worse. From testing the only ideas have been possible small fiber neuropathy, but testing was negative, possible migraine phenomenon, lyme disease. Otherwise unknown.
Normal nerve conduction studies, normal brain MRI, small fiber neuropathy biopys were borderline numbers but normal, qrsart testing normal, autoimmune screening normal.
Here is the caught.... When I was younger, I would have similar pins and needles attacks. However, these were VERY severe and ONLY when I went from cold to hot in the winter, or the first 10 mins of exercise, or even after sex or when I got really hot. These attacks would last about 20 mins or so (the current ones are much less intense but can be there for days) , but then I would be hypersensitive for several hours after. I would be very very itchy with these and I would get a temp rash on my chest at times. Back then I was sure it was chronic urtica.Â
I am thinking my current symptoms may have evolved from the old ones. Any ideas?
I have been getting random pins and needles throughout my body, mainly arms, hands, thighs, torso, Â face. Â These come on fast and can spread from area to area in seconds. They come in go in seconds to.mintues. Â Some days I have them some days I don't. I also got a general hypersensitive skin feeling from it, where I don't want to be touched anywhere. This may be neurological but I wanted to get your expert dermatology opinion. No triggers, but heat makes them worse. From testing the only ideas have been possible small fiber neuropathy, but testing was negative, possible migraine phenomenon, lyme disease. Otherwise unknown.
Normal nerve conduction studies, normal brain MRI, small fiber neuropathy biopys were borderline numbers but normal, qrsart testing normal, autoimmune screening normal.
Here is the caught.... When I was younger, I would have similar pins and needles attacks. However, these were VERY severe and ONLY when I went from cold to hot in the winter, or the first 10 mins of exercise, or even after sex or when I got really hot. These attacks would last about 20 mins or so (the current ones are much less intense but can be there for days) , but then I would be hypersensitive for several hours after. I would be very very itchy with these and I would get a temp rash on my chest at times. Back then I was sure it was chronic urtica.Â
I am thinking my current symptoms may have evolved from the old ones. Any ideas?
Brief Answer:
Cholinergic Urticaria
Detailed Answer:
Hello. Thank you for writing to us
I am Dr. Kakkar (Dermatologist). I have gone through your query and I have noted your concern.
Your symptoms seem to be that of Cholinergic Urticaria.
Cholinergic Urticaria classically presents with small, itchy welts distributed all over the body. The reaction is intense and sudden but short lasting.
The reaction commonly develops in response to certain stimuli which raise core body temperature e.g exercise/ physical activity, hot shower, spicy food Or in response to strong emotional reactions like anger, embarrassment etc.
It is a type of physical urticaria and is usually chronic and recurrent.
Apart from avoiding activities that trigger this type of urticaria, treatment is symptomatic with an Oral antihistamine e.g either Cetirizine or Loratadine or Fexofenadine. A single dose of an oral antihistamine is usually enough. A cool shower would also offer relief!
Topically you may use a soothing lotion e.g Calamine lotion during an episode of cholinergic urticaria.
Let me know if there's any further queries
Regards
Cholinergic Urticaria
Detailed Answer:
Hello. Thank you for writing to us
I am Dr. Kakkar (Dermatologist). I have gone through your query and I have noted your concern.
Your symptoms seem to be that of Cholinergic Urticaria.
Cholinergic Urticaria classically presents with small, itchy welts distributed all over the body. The reaction is intense and sudden but short lasting.
The reaction commonly develops in response to certain stimuli which raise core body temperature e.g exercise/ physical activity, hot shower, spicy food Or in response to strong emotional reactions like anger, embarrassment etc.
It is a type of physical urticaria and is usually chronic and recurrent.
Apart from avoiding activities that trigger this type of urticaria, treatment is symptomatic with an Oral antihistamine e.g either Cetirizine or Loratadine or Fexofenadine. A single dose of an oral antihistamine is usually enough. A cool shower would also offer relief!
Topically you may use a soothing lotion e.g Calamine lotion during an episode of cholinergic urticaria.
Let me know if there's any further queries
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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