Dermografizm
Epidemiologia
Dermografizm jest najczęstszą formą pokrzywki indukowanej fizycznie, występującą u 2-5% populacji, a według niektórych źródeł nawet do 25%. Najczęściej dotyka młodych dorosłych, ze szczytem zachorowań w 2. i 3. dekadzie życia, z przewagą u kobiet (33% vs. 16% u mężczyzn). Występowanie dermografizmu zwiększa się w ciąży (zwłaszcza w II trymestrze), menopauzie, u dzieci atopowych, pacjentów z chorobą Behçeta, zespołem hipereozynofilowym, cukrzycą oraz zaburzeniami czynności tarczycy. Diagnostyka opiera się na teście prowokacyjnym, polegającym na mechanicznym podrażnieniu skóry i obserwacji reakcji w ciągu 5-7 minut, z wykorzystaniem narzędzi takich jak dermografometr, FricTest czy skin writometer. Patofizjologia wiąże się z nasilonym uwolnieniem IgE i IgM, będącym formą potrójnej odpowiedzi Lewisa.
Epidemiologia dermografizmu
Dermografizm jest najczęstszym rodzajem pokrzywki indukowanej fizycznie, występującym u około 2-5% populacji ogólnej.123 Niektóre źródła podają nawet wyższy odsetek, sięgający 25% populacji.4 Jest to najczęstsza forma pokrzywki fizycznej, stanowiąca około 7-10% wszystkich przypadków wykwitów skórnych i obrzęków.5
Rozkład demograficzny
Dermografizm może wystąpić w każdym wieku, jednak najczęściej pojawia się u młodych dorosłych, ze szczytem zachorowalności w drugiej i trzeciej dekadzie życia.678 U nastolatków i młodych dorosłych występuje o 24% częściej niż w innych grupach wiekowych.9 W przypadku dzieci, badania wskazują na przewagę występowania u dziewczynek.1011
Co do rozkładu płciowego, niektóre badania sugerują częstsze występowanie u kobiet, choć nie zostało to jednoznacznie potwierdzone we wszystkich badaniach.1213 Jedno z badań wskazuje, że dermografizm występuje u około 33% kobiet w porównaniu do 16% mężczyzn.14 W przypadku pokrzywki z ucisku, mężczyźni są dotknięci dwukrotnie częściej niż kobiety, a średni wiek zachorowania wynosi 30 lat.15
Nie wykazano związku między rasą a częstością występowania dermografizmu – schorzenie to dotyka ludzi wszystkich ras w podobnym stopniu.161718
Grupy ryzyka i czynniki predysponujące
Zwiększoną częstość występowania dermografizmu odnotowano w następujących sytuacjach:19
- Ciąża (szczególnie w drugiej połowie lub drugim trymestrze)202122
- Początek menopauzy2324
- U dzieci atopowych (choć związek z atopią jest wciąż dyskutowany w literaturze)2526
- U pacjentów z chorobą Behçeta2728
- U pacjentów z zespołem hipereozynofilowym29
- U osób z cukrzycą oraz zaburzeniami czynności tarczycy (nadczynność/niedoczynność)30
Zauważono również związek z wystąpieniem dermografizmu po traumatycznych wydarzeniach życiowych i stresie psychologicznym – około jedna trzecia pacjentów doświadczających traumatycznych wydarzeń życiowych, wraz z współistniejącymi zaburzeniami psychologicznymi, doświadcza dermografizmu.31 Jednakże badania nad bezpośrednim wpływem ostrego stresu na nasilenie objawów dają niejednoznaczne wyniki.32
Istnieją również doniesienia o przypadkach rodzinnego występowania dermografizmu, co może sugerować predyspozycje genetyczne.3334
Nadzór i diagnostyka dermografizmu
Dermografizm jest rozpoznaniem klinicznym, które można ustalić stosunkowo łatwo na podstawie charakterystycznej reakcji skóry na bodźce mechaniczne.3536
Metody diagnostyczne
Podstawową metodą diagnostyczną jest test prowokacyjny, polegający na wywołaniu reakcji skórnej poprzez mechaniczne podrażnienie skóry:37
- Standardowo stosuje się energiczny ruch przesuwający po skórze, zwykle na plecach, i oczekuje się na pojawienie się reakcji w ciągu kilku minut38
- W warunkach klinicznych lekarz może użyć szpatułki (języka szpatułkowego) do pisania lub naciskania skóry na ramieniu lub plecach pacjenta3940
- Dermografizm jest rozpoznawany, gdy fizyczne ślady pozostają na skórze w tym samym kierunku i orientacji co pisanie41
- Objawy dermografizmu pojawiają się w ciągu 5-7 minut po podrażnieniu skóry42
W przypadkach ciężkich lub przedłużających się reakcji, pacjent może zostać skierowany do specjalisty alergologa lub dermatologa, który może użyć specjalistycznych narzędzi diagnostycznych:43
- Dermografometr – urządzenie mierzące wrażliwość skóry w odpowiedzi na zadaną siłę nacisku4445
- FricTest – test używany do oceny nasilenia objawowego dermografizmu4647
- Skin writometer – proste, przyjazne dla użytkownika i niedrogie narzędzie do dokładnej diagnozy objawowego dermografizmu48
Fizjologiczna odpowiedź obserwowana w dermografizmie jest określana jako nasilona forma potrójnej odpowiedzi Lewisa, powodowana reakcją immunologiczną i uwolnieniem przeciwciał znanych jako immunoglobulina E (IgE) i immunoglobulina M (IgM).495051
Różnicowanie i potencjalne błędy diagnostyczne
Dermografizm należy różnicować z innymi schorzeniami skórnymi, takimi jak:52
- Alergiczne zapalenie skóry
- Pokrzywka skórna
- Wyprysk (egzema)
- Inne formy pokrzywki fizycznej
Warto zauważyć, że dermografizm może prowadzić do fałszywie dodatnich wyników testów prowokacyjnych z lekami lub pokarmami. Dlatego przed wykonaniem testów prowokacyjnych należy zbadać obecność objawowego dermografizmu.53
Naturalny przebieg choroby i nadzór
Naturalny przebieg dermografizmu jest nieprzewidywalny:54
- Stan może utrzymywać się przez miesiące lub lata, występować okresowo lub towarzyszyć pacjentowi przez całe życie5556
- Idiopatyczny objawowy dermografizm utrzymuje się średnio przez 6 lat5758
- W porównaniu z innymi przewlekłymi pokrzywkami, objawowy dermografizm wykazuje najszybsze ustępowanie – po 5 latach u 36% pacjentów i po 10 latach u 51% pacjentów59
- U wielu osób dermografizm poprawia się z czasem i ustępuje samoistnie lub pod wpływem leczenia60
W przeciwieństwie do innych form pokrzywki fizycznej, takich jak pokrzywka z ucisku, która może utrzymywać się średnio 6-9 lat i być znacznie bardziej upośledzająca, dermografizm ma zwykle łagodniejszy przebieg.61
Tendencje i nowe odkrycia w epidemiologii dermografizmu
Badania epidemiologiczne wskazują na pewne tendencje w występowaniu dermografizmu:62
- W niektórych krajach, jak Korea, zaobserwowano wzrost rocznej częstości występowania wszystkich typów pokrzywki, w tym dermografizmu i obrzęku naczynioruchowego w ciągu pięciu lat obserwacji63
- Szczyt występowania wszystkich typów pokrzywki odnotowano u osób, zwłaszcza kobiet, w wieku 30-59 lat64
W ostatnich latach pojawiły się również doniesienia o rozwoju dermografizmu po szczepieniach przeciwko COVID-19, co sugeruje potencjalny związek z odpowiedzią immunologiczną:65
- Zaobserwowano przypadki migrującego dermografizmu po podaniu dawki przypominającej szczepionki Moderna przeciwko COVID-19
- Dawka przypominająca szczepionki Moderna, mimo że stanowi połowę dawki pierwotnej serii szczepień, może prowadzić do nasilonej odpowiedzi immunologicznej u niektórych pacjentów66
W badaniach nad nowymi metodami leczenia dermografizmu testowano również innowacyjne terapie:67
- Barzolvolimab, badane przeciwciało monoklonalne, wykazało obiecujące wyniki w leczeniu pokrzywki z zimna i objawowego dermografizmu w badaniu klinicznym fazy II
- Xolair (omalizumab) wykazał korzyści u pacjentów z dermografizmem, którzy nie odpowiedzieli na zwiększone dawki leków przeciwhistaminowych, choć dokładny mechanizm działania w dermografizmie nie jest jasny68
Implikacje dla zdrowia publicznego
Dermografizm jest zwykle łagodnym schorzeniem, które nie zagraża życiu.6970 Mimo to może znacząco wpływać na jakość życia pacjentów, powodując dyskomfort i ograniczając aktywność.7172
Warto zwrócić uwagę na rzadkie przypadki nietypowych manifestacji dermografizmu, takich jak zwiększona wrażliwość błony śluzowej jamy ustnej. Chociaż w literaturze można znaleźć doniesienia o związku z błoną śluzową narządów płciowych i oskrzeli, nie było wcześniej doniesień o jamy ustnej. Opisywano pacjentów z dermografizmem, u których występowała wzmożona i osobliwie zwiększona wrażliwość tkanek jamy ustnej na niewielki nacisk, co negatywnie wpływało na procedury higieniczne jamy ustnej.7374
Z perspektywy zdrowia publicznego, ważne jest zwiększanie świadomości na temat dermografizmu wśród pracowników służby zdrowia, aby zapewnić odpowiednią diagnozę i leczenie, które może poprawić jakość życia pacjentów.75
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #2 Dermatographia (Dermatographism): What It Is, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/17793-dermatographism-dermatographia
Dermatographia is a common, benign (not harmful) skin condition. It causes you to develop raised marks (wheals) or a reaction similar to hives when you scratch your skin. Pressure or rubbing (friction) may also cause a reaction. […] Dermatographia is common. It affects about 2% to 5% of the general population. […] Dermatographia may be an autoimmune disease. Healthcare providers and medical researchers think it might be an inappropriate response from your immune system. Your immune system registers scratching or pressure as an allergen. It sends the chemical histamine to the area to remove the allergen from your body. […] Generally, dermatographia leaves no lasting marks, causing only minor, short-lived irritation and symptoms. The condition may last anywhere from months to years, or you may have it throughout your life.
- #3 Dermatographism – UtahDERM Diagnoseshttps://utahderm.med.utah.edu/diagnoses/dermatographism/
Dermatographism affects 2-5% of the population and most commonly occurs in young adults. […] Dermatographism is the most common form of physical urticaria.
- #4 Dermatographic urticaria – Wikipediahttps://en.wikipedia.org/wiki/Dermatographic_urticaria
Dermatographic urticaria is a skin disorder and one of the most common types of urticaria, affecting 25% of the population. […] The underlying cause of dermatographism is not known, and it can last for many years without relief. […] Dermatographism may occur in mastocytosis (systemic mast cell proliferation) and mast cell activation syndrome (MCAS).
- #5 Dermatographia: Causes and treatment of skin writinghttps://www.medicalnewstoday.com/articles/319258
Dermatographia is a skin condition that causes individuals to develop raised welts after their skin is scratched. The popular name for the condition is skin writing due to the pronounced reaction. […] Although skin writing may sound exotic, dermatographia is a common condition, affecting 2 to 5 percent of the population. It is considered one of the more prevalent forms of hives and accounts for 7 to 10 percent of all cases of skin rashes and swelling. […] Dermatographia, or 'skin writing’ is generally considered to be a type of allergic reaction to pressure on the skin. […] The consensus among medical professionals is that dermatographia is an allergic reaction when specific antibodies.
- #6 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #7 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #8 Dermographismhttps://dermnetnz.org/topics/dermographism
Dermographism can appear at any age, including children, but onset is most common in young adults. […] The incidence of true dermographism does not appear to be increased in association with atopy, although this is still debated in the literature. […] Dermographism is a clinical diagnosis elicited using a sufficiently firm stroke of the skin usually across the back and waiting several minutes for the reaction to develop. […] Dermographism can last for months or years, with idiopathic symptomatic dermographism typically persisting on average for 6 years.
- #9 Dermatographia Ayurvedic Treatment – Causes, Symptoms and Morehttps://www.iafaforallergy.com/disease-a-to-z/dermatographia/
Dermatographia is a common condition and approximately 2 to 5 individuals out of 100 suffer from this skin problem. Surveys revealed that 2 to 5% of the general population throughout the world suffer from this condition. In younger individuals, its prevalence is 24% higher than others and teenagers are more affected by this disease. The female has more prevalence i.e. 33% of this skin writing disease as compared to men i.e. 16%. […] Certain individuals are more prone to skin-writing diseases otherwise they can affect people of all ages. This condition is more common in teenagers as it can be triggered by hormonal changes and stress. Individuals who are prone to allergies, have dry skin or eczema, etc. are at higher risk of having dermatographia. Individuals who wear tight clothing, scratch their skin often, or have any chronic inflammatory condition or autoimmune diseases are also at risk of having dermatographia. Pain relievers and antibiotics worsen the symptoms of skin writing diseases.
- #10 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #11 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #12 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #13 Dermographism: Writing on the skin – Clinical Advisorhttps://www.clinicaladvisor.com/features/dermographism-writing-on-the-skin/
The cause of dermographic urticaria is unknown, but appears to be related to a mast cell abnormality and is probably autoimmune in nature. […] It affects approximately 2% to 5% of the population. […] There does not appear to be a racial predication or gender specificity, although there is some research that suggests females may be slightly more affected than males. […] Dermographism is usually treated with antihistamines to stop the reaction. […] Statistically, about half of patients see marked improvement, though others may see no improvement at all. […] Dermographism is not life threatening but it can be troubling for those experiencing the symptoms. […] Clinicians should reassure their patients that this is not life threatening and can be properly managed.
- #14 Dermatographia Ayurvedic Treatment – Causes, Symptoms and Morehttps://www.iafaforallergy.com/disease-a-to-z/dermatographia/
Dermatographia is a common condition and approximately 2 to 5 individuals out of 100 suffer from this skin problem. Surveys revealed that 2 to 5% of the general population throughout the world suffer from this condition. In younger individuals, its prevalence is 24% higher than others and teenagers are more affected by this disease. The female has more prevalence i.e. 33% of this skin writing disease as compared to men i.e. 16%. […] Certain individuals are more prone to skin-writing diseases otherwise they can affect people of all ages. This condition is more common in teenagers as it can be triggered by hormonal changes and stress. Individuals who are prone to allergies, have dry skin or eczema, etc. are at higher risk of having dermatographia. Individuals who wear tight clothing, scratch their skin often, or have any chronic inflammatory condition or autoimmune diseases are also at risk of having dermatographia. Pain relievers and antibiotics worsen the symptoms of skin writing diseases.
- #15 Physical urticarias (adrenergic urticaria, cholinergic urticaria, pressure urticaria, dermographism) – Dermatology Advisorhttps://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/physical-urticarias-adrenergic-urticaria-cholinergic-urticaria-pressure-urticaria-dermographism/
Dermographic urticaria: Dermographic urticaria (synonym: factitial urticaria) is defined by wheal formation induced by shearing forces on the skin. The wheals generally appear rapidly and itch. […] Dermographic urticaria is the most frequent form of physical urticaria, affecting mainly young adults. The mean duration is 6.5 years. […] The prevalence of physical urticaria varies in the literature. This is due to the variance in the strength of the physical stimulus required. Thus, it has been shown that in normal subjects 44.6% can react with an urticarial dermographism if a considerably increased pressure is used for testing. However, these subjects do not normally show signs of urticaria. […] With pressure urticaria, males are twice as frequently affected as females, the average age of onset is 30 years, and the mean duration is 69 years. Pressure urticaria can be disabling for patients whose jobs involve physical work.
- #16 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #17 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #18 Dermatographia: Symptoms, Causes and Treatmenthttps://resources.healthgrades.com/right-care/skin-hair-and-nails/dermatographia
Dermatographia occurs in approximately 2â5% of the population. It can occur at any age but tends to be more common in people between 20â30 years old. […] Dermatographia seems to occur in all races equally.
- #19 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #20 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #21 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #22 Dermographism (Dermatographic Urticaria) – Online Dermatologyhttps://www.firstderm.com/dermographism/
Dermographism means writing on the skin and is a chronic form of urticaria (hives). This condition usually has no symptoms, and most people with dermographism are healthy. However, symptomatic dermographism may limit activity and thus reduce quality of life. […] The chance of dermographism increases during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. Dermographism can appear in persons of any age but is more common in young adults, in their twenties and thirties. […] Usually, medical care is not necessary. However, you should seek medical care if dermographism is significantly affecting your quality of life. A doctor can diagnose the condition with a tongue depressor across the skin of your arm or back to see if a red, swollen line or a welt (wheal) appears within a few minutes.
- #23 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #24 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #25 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #26 Dermographismhttps://dermnetnz.org/topics/dermographism
Dermographism can appear at any age, including children, but onset is most common in young adults. […] The incidence of true dermographism does not appear to be increased in association with atopy, although this is still debated in the literature. […] Dermographism is a clinical diagnosis elicited using a sufficiently firm stroke of the skin usually across the back and waiting several minutes for the reaction to develop. […] Dermographism can last for months or years, with idiopathic symptomatic dermographism typically persisting on average for 6 years.
- #27 Dermographism Urticaria: Practice Essentials, Pathophysiology and Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1050294-overview
Dermographism is the most common of the physical urticarias and can occur with other forms of urticaria. An increased incidence has been reported during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. […] Dermographism can appear in persons of any age but is more common in young adults; the peak incidence is in the second and third decades. Whether a sexual variance in prevalence occurs is unclear. None has been consistently reported, though one study on dermographism in children reported a female predominance. […] No racial variance in prevalence is known.
- #28 Dermographism (Dermatographic Urticaria) – Online Dermatologyhttps://www.firstderm.com/dermographism/
Dermographism means writing on the skin and is a chronic form of urticaria (hives). This condition usually has no symptoms, and most people with dermographism are healthy. However, symptomatic dermographism may limit activity and thus reduce quality of life. […] The chance of dermographism increases during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. Dermographism can appear in persons of any age but is more common in young adults, in their twenties and thirties. […] Usually, medical care is not necessary. However, you should seek medical care if dermographism is significantly affecting your quality of life. A doctor can diagnose the condition with a tongue depressor across the skin of your arm or back to see if a red, swollen line or a welt (wheal) appears within a few minutes.
- #29 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #30 Dermatographia: Symptoms, Causes and Ayurvedic Treatment – VIMShttps://vims.ac.in/vims-hospital/dermatographia-symptoms-causes-and-ayurvedic-treatment/
Dermatographia or dermatographism is a skin condition. Its one of the most common types of inducible urticaria occurring in 2-5% of the population. […] Although the exact cause for dermatographia disease is unknown, its pathogenesis involves the release of histamine from mast cells. […] It is known to be seen in diabetic, hyper/hypothyroidism, menopausal(onset), pregnant(mostly second trimester), or medication-related (penicillin) people. Other known risk factors associated with this condition are; […] Primarily, dermographism urticaria is a clinical diagnosis. […] Dermatographia, a benign condition, seldom governs treatment until it is symptomatic. […] Although not life-threatening, dermatographism is a distressing condition.
- #31 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #32 Urticarial Dermographism: Clinical Features and Response to Psychosocial Stress | HTML | Acta Dermato-Venereologicahttps://www.medicaljournals.se/acta/content/html/10.2340/00015555-0306
Studies report that urticarial dermographism is exacerbated by life events and emotions. […] It has been reported to be the most common form of physical urticaria that is exacerbated by life events and emotions. […] Difficult life events coincided with exacerbation of urticaria factitia in 78% of 18 patients with this disorder, while emotions did so in 83% of patients. […] The aim of the present study was to determine whether acute stress can aggravate urticarial dermographism, rather than simply elicit a subjective complaint of increased symptoms. […] The dermographic reaction in urticaria factitia patients was not significantly intensified after the stress test. […] In conclusion, although 33% of the patients answering the questionnaire reported that psychosocial stress amplified the symptoms of urticarial dermographism, the acute social stress test did not alter the magnitude of the dermographic reactions in the subgroup of factitia patients who volunteered for the experimental study.
- #33 Dermatographism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/sites/books/n/statpearls/article-20387/
Dermatographism is the most common type of inducible/physical urticaria, occurring in approximately 2% to 5% of the population. […] Dermatographism is the most common type of urticaria, frequently presenting in young adults, with the peak incidence in the second and third decades. […] There has not been shown a relationship between race and dermatographism. […] One study of pediatric patients showed a female predominance. […] One report cited a case of familial dermatographism. […] Hypereosinophilic syndrome is associated with atopic children and increases dermatographism; these are associated with atopic children and an increased number of eosinophils in the blood. […] One-third of patients who experience traumatic life events, along with psychological co-morbidities, experience dermatographism. […] Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition.
- #34 Dermatographia: Facts About a Common Skin Condition – Buckhead Dermatologyhttps://buckheaddermatology.com/dermatographia-facts-about-a-common-skin-condition/
Skin writing is common and affects around 5% of the general population. […] Anyone may experience dermatographia, but some are more likely to experience it if they are in their teens or under the age of 20, have dry skin, or have dermatitis. […] Dermatographia is a skin condition that is frequently passed down through generations. […] Although dermatographia’s exact causes are unknown, there are several triggers: allergies, exercise, extreme heat or cold temperatures, and some medicines may cause a person to be more likely to experience these raised welts. […] It is thought that the skin reaction is an immune system response to an allergen. […] If dermatographia is an auto-immune disease, which some believe, the body thinks the pressure and scratching are allergens, and it sends histamine to remove the allergen from the body. […] Visiting a professional dermatologist can help diagnose and treat this condition. […] Experienced and licensed dermatologists can treat all skin conditions and get people the relief they seek.
- #35 Symptomatic dermographism | Future for Patientshttps://futureforpatients.com/en-us/disease-patterns/symptomatic-dermographism/
Symptomatic dermographism occurs in people of all age groups, although women are more frequently affected than men. […] The exact causes of symptomatic dermographism are not yet fully understood. According to the current state of research, the following triggers are associated with the development of the skin disease: […] As symptomatic dermographism is a visible and reproducible reaction of the skin to mechanical stimuli, the diagnosis is comparatively uncomplicated in most cases and does not usually require extensive examinations. […] Please note that all content provided regarding individual medical conditions, treatments, procedures, etc. is general information and may vary depending on the physician:in and individual case and initial situation.
- #36 Dermatographia: Symptoms, Causes and Ayurvedic Treatment – VIMShttps://vims.ac.in/vims-hospital/dermatographia-symptoms-causes-and-ayurvedic-treatment/
Dermatographia or dermatographism is a skin condition. Its one of the most common types of inducible urticaria occurring in 2-5% of the population. […] Although the exact cause for dermatographia disease is unknown, its pathogenesis involves the release of histamine from mast cells. […] It is known to be seen in diabetic, hyper/hypothyroidism, menopausal(onset), pregnant(mostly second trimester), or medication-related (penicillin) people. Other known risk factors associated with this condition are; […] Primarily, dermographism urticaria is a clinical diagnosis. […] Dermatographia, a benign condition, seldom governs treatment until it is symptomatic. […] Although not life-threatening, dermatographism is a distressing condition.
- #37 Dermographismhttps://dermnetnz.org/topics/dermographism
Dermographism can appear at any age, including children, but onset is most common in young adults. […] The incidence of true dermographism does not appear to be increased in association with atopy, although this is still debated in the literature. […] Dermographism is a clinical diagnosis elicited using a sufficiently firm stroke of the skin usually across the back and waiting several minutes for the reaction to develop. […] Dermographism can last for months or years, with idiopathic symptomatic dermographism typically persisting on average for 6 years.
- #38 Dermographismhttps://dermnetnz.org/topics/dermographism
Dermographism can appear at any age, including children, but onset is most common in young adults. […] The incidence of true dermographism does not appear to be increased in association with atopy, although this is still debated in the literature. […] Dermographism is a clinical diagnosis elicited using a sufficiently firm stroke of the skin usually across the back and waiting several minutes for the reaction to develop. […] Dermographism can last for months or years, with idiopathic symptomatic dermographism typically persisting on average for 6 years.
- #39 Dermatographism Treatment | Frontier Allergy Austinhttps://www.frontierallergist.com/conditions/dermatographism/
Dermatographism is a skin condition that causes redness, inflammation, welts, and itching when the skin is exposed to pressure, rubbing, or scratching. This condition is also called skin writing, dermographia, or dermatographic urticaria. […] Dermatographism is a common, benign skin condition that is not transmissible or life-threatening. […] It is estimated that up to 5% of the population may have dermatographism at some point in their lives. […] Dermatographia can affect people of any age, gender, or race. However, it is more commonly seen in younger people, particularly those under the age of 30. […] Women are more likely than men to develop dermatographism, and it may be more common in those who have a family history of the condition. […] Stress may exacerbate dermatographia. Avoiding stress wherever possible helps to prevent dermatographia. […] Your healthcare provider can diagnose dermatographia by writing on your skin. Theyâll use a tongue depressor to write or press on the skin of your arm or back. Dermatographia will carry the physical marks left behind in the same direction and orientation as the writing.
- #40 Dermographism (Dermatographic Urticaria) – Online Dermatologyhttps://www.firstderm.com/dermographism/
Dermographism means writing on the skin and is a chronic form of urticaria (hives). This condition usually has no symptoms, and most people with dermographism are healthy. However, symptomatic dermographism may limit activity and thus reduce quality of life. […] The chance of dermographism increases during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. Dermographism can appear in persons of any age but is more common in young adults, in their twenties and thirties. […] Usually, medical care is not necessary. However, you should seek medical care if dermographism is significantly affecting your quality of life. A doctor can diagnose the condition with a tongue depressor across the skin of your arm or back to see if a red, swollen line or a welt (wheal) appears within a few minutes.
- #41 Dermatographism Treatment | Frontier Allergy Austinhttps://www.frontierallergist.com/conditions/dermatographism/
Dermatographism is a skin condition that causes redness, inflammation, welts, and itching when the skin is exposed to pressure, rubbing, or scratching. This condition is also called skin writing, dermographia, or dermatographic urticaria. […] Dermatographism is a common, benign skin condition that is not transmissible or life-threatening. […] It is estimated that up to 5% of the population may have dermatographism at some point in their lives. […] Dermatographia can affect people of any age, gender, or race. However, it is more commonly seen in younger people, particularly those under the age of 30. […] Women are more likely than men to develop dermatographism, and it may be more common in those who have a family history of the condition. […] Stress may exacerbate dermatographia. Avoiding stress wherever possible helps to prevent dermatographia. […] Your healthcare provider can diagnose dermatographia by writing on your skin. Theyâll use a tongue depressor to write or press on the skin of your arm or back. Dermatographia will carry the physical marks left behind in the same direction and orientation as the writing.
- #42 Dermatographism Treatment In Gainesville, FLhttps://www.gainesvilledermatologyskinsurgery.com/dermatographism/
Dermatographism, also known as dermatographia or dermatographism urticaria, is a common, benign skin condition. Patients with dermatographism develop welts or localized hive-like reactions when they scratch, rub, or put pressure on their skin. Dermatographism is the most common type of physical or chronic inducible urticaria. This condition can appear at any age and may occur in children, though it is most common in young adults. […] Dermatographism appears within 57 minutes after the skin is irritated. If the skin is scratched or stroked and hives appear, the hives will occur in the same orientation and direction as the irritation. To diagnose dermatographism, our dermatology associates may use a medical instrument to scratch or press on the skin and wait to see if welts appear. […] Patients with asymptomatic dermatographism may not necessarily require medical treatment. However, patients with chronic symptoms from dermatographism or symptomatic dermatographism may require treatment from a dermatologist. Symptoms of this condition may be distressing and significantly impact a patient’s quality of life. […] For patients living with dermatographism, the condition may last months, years, or even throughout their lives. However, for many patients, the condition clears up in 12 years or in a way that skin irritations do not cause substantial symptoms to occur.
- #43 Dermatographism: Causes, Symptoms, Diagnosis, and Treatmenthttps://www.verywellhealth.com/dermographism-autoimmune-disease-5322833
Dermatographism is among the most common forms of urticaria, affecting between 2% and 5% of the world’s population. […] Dermatographism is typically diagnosed by the appearance of the rash under mechanical stress. […] If the reactions are especially severe or prolonged, you may be referred to a specialized allergist or dermatologist who can use a tool called a dermographometer to measure skin sensitivity in response to a preset amount of pressure. […] Dermatographism usually does not need to be treated unless it is causing severe or prolonged symptoms.
- #44 Dermatographism: Causes, Symptoms, Diagnosis, and Treatmenthttps://www.verywellhealth.com/dermographism-autoimmune-disease-5322833
Dermatographism is among the most common forms of urticaria, affecting between 2% and 5% of the world’s population. […] Dermatographism is typically diagnosed by the appearance of the rash under mechanical stress. […] If the reactions are especially severe or prolonged, you may be referred to a specialized allergist or dermatologist who can use a tool called a dermographometer to measure skin sensitivity in response to a preset amount of pressure. […] Dermatographism usually does not need to be treated unless it is causing severe or prolonged symptoms.
- #45 Dermatographism: Causes, Symptoms, Diagnosis, and Treatmenthttps://www.verywellhealth.com/dermatographism-83236
Dermatographism is among the most common forms of urticaria, affecting between 2% and 5% of the world’s population. […] Dermatographism is typically diagnosed by the appearance of the rash under mechanical stress. […] If the reactions are especially severe or prolonged, you may be referred to a specialized allergist or dermatologist who can use a tool called a dermographometer to measure skin sensitivity in response to a preset amount of pressure. […] Dermatographism usually does not need to be treated unless it is causing severe or prolonged symptoms. […] Dermatographism can be annoying, but it’s usually not severe.
- #46 Barzolvolimab Shows Promise for Cold Urticaria and Dermographism | MedPage Todayhttps://www.medpagetoday.com/meetingcoverage/acaaivideopearls/113098
The investigational monoclonal antibody barzolvolimab significantly improved provocation test outcomes and reduced symptoms compared with placebo in patients with cold urticaria and symptomatic dermographism, according to results from a phase II trial presented at the recent American College of Allergy, Asthma & Immunology annual meeting. […] The primary endpoint was to look at the percentage of patients with negative provocation test at week 12, either using the cold TempTest or for the symptomatic dermographism, the FricTest. […] So it was also very effective at reducing itch at the time of provocation compared to placebo for both groups. […] It was generally well tolerated. The safety profile was very consistent with previous studies. So there are phase III trials planned for CIndU [chronic inducible urticaria].
- #47 Skin writometer: A novel instrument for assessing provocation threshold in patients with symptomatic dermographism – IJCEDhttps://www.ijced.org/html-article/13898
Symptomatic dermographism, a type of physical urticaria is a common condition affecting patients quality of life. […] The severity of symptomatic dermographism differs among individuals. […] Considering the limitation of current method, a user friendly, simple but inexpensive method of eliciting dermographism is required. […] Skin writometer has been suggested by others as an alternative option to Fric Test. […] Skin writometer, may be used as a simple, user friendly and inexpensive instrument for accurate diagnosis of symptomatic dermographism.
- #48 Skin writometer: A novel instrument for assessing provocation threshold in patients with symptomatic dermographism – IJCEDhttps://www.ijced.org/html-article/13898
Symptomatic dermographism, a type of physical urticaria is a common condition affecting patients quality of life. […] The severity of symptomatic dermographism differs among individuals. […] Considering the limitation of current method, a user friendly, simple but inexpensive method of eliciting dermographism is required. […] Skin writometer has been suggested by others as an alternative option to Fric Test. […] Skin writometer, may be used as a simple, user friendly and inexpensive instrument for accurate diagnosis of symptomatic dermographism.
- #49 How Do You Get Rid of Dermatographia?https://www.medicinenet.com/how_do_you_get_rid_of_dermatographia/article.htm
Dermatographia occurs in approximately 2% to 5% of the general population. Dermatographia can occur at any age but is more common in young adults in their 20s and 30s. Dermatographia incidence has been reported to be higher in the following situations: […] The exact cause of dermatographia is unclear. The response to pressure on the skin is called Lewis’s triple response, caused by immune reaction and release of antibodies known as immunoglobulin E (IgE). […] The natural course of dermatographia is unpredictable and may last for months or years, or occur intermittently. In many people, dermatographia improves over the years and clears on its own or with treatment.
- #50 Dermatographia – dermascopehttps://www.dermascope.com/dermatographia/
Dermatographia is an unusual chronic condition, also referred to as skin writing, and dermographism or dermatographic urticaria. It is considered one of the many forms of dermatitis. […] This condition is believed to affect between 2% to 5% of the general population, primarily young adults. […] Medical professionals believe that dermatographia is an allergic reaction when specific antibodies immunoglobulin e (IgE) and immunoglobulin m (IgM) are released in response to either scratching, pressure, or mild irritation of the skin. […] A dermatologist will assess the skin then rub an instrument against it (usually something gentle like a tongue depressor) in a specific direction. […] Individuals can avoid outbreaks by refraining from any known triggers, which include the following: Rubbing or pressure on the skin, Any irritant that causes itching, Heat (hot showers or the sauna), Stress, Forms of exercise that involve skin rubbing (wrestling can be one example), Dry weather, Infection, Certain medications including penicillin.
- #51 The Basics of Dermatographia: Personal Story Becomes Journey to Learninghttps://www.medreport.foundation/post/the-basics-of-dermatographia-personal-story-becomes-journey-to-learning
Dermatographia is not pregnancy-related for most people; in fact, it may be present in 2-5% of the general population. […] Dermatographia is the most common of a group of hives-related disorders called physical urticaria. […] Some researchers and healthcare providers believe dermatographia may even be an autoimmune disorder. […] The disorder may also exist more frequently in young adults and females. […] A healthcare provider can easily diagnose dermatographia by using pressure from a blunt, firm object to simulate writing on the skin. […] The NIH describes this physiological response as an aggravated form of the body’s triple response of Lewis. […] Most dermatographia cases have a mild presentation. However, with more significant symptoms lasting longer than 30 minutes, or accompanied by bothersome pruritus (itching), the following remedies may help: H-1 antihistamine medications (such as cetirizine, loratadine, hydroxyzine, or diphenhydramine). […] A primary doctor or dermatologist can help identify different treatments based on the kind of urticaria present.
- #52 Dermographism: Causes, Symptoms, and Natural Remedieshttps://www.nirvahealth.com/blog/treatment-guide-to-dermographism
Other conditions similar to dermatographia include allergic dermatitis, skin hives, eczema and a few more specific to each person’s body type. […] The main line of conventional treatment for dermatographia is anti-allergic treatment. Your healthcare provider will put you on antihistamine pills and give you soothing topicals to calm the skin.
- #53 Based on a patient: Dermographism should be routinely investigated before every provocation test | Allergologia et Immunopathologiahttps://www.elsevier.es/en-revista-allergologia-et-immunopathologia-105-articulo-based-on-patient-dermographism-should-S0301054611003661
Based on a patient: Dermographism should be routinely investigated before every provocation test […] In conclusion, even though DPTs are considered to be the gold standard to establish or exclude the diagnosis of drug allergy or intolerance, as we observed in our patient some causes such as symptomatic dermographism may cause false-positive test results. Careful investigation of symptomatic dermographism before performing DPTs may be helpful for the correct evaluation of test results. To our knowledge there is no clear information in the guidelines regarding this issue although investigating pre-existing symptoms such as urticaria has been suggested. Based on this patient we suggest that symptomatic dermographism should be routinely investigated as first step before all provocation tests such as food or drug even without suggestive history of symptomatic dermographism and in the presence of symptomatic dermographism it should be performed by eliminating physical stimuli.
- #54 How Do You Get Rid of Dermatographia?https://www.medicinenet.com/how_do_you_get_rid_of_dermatographia/article.htm
Dermatographia occurs in approximately 2% to 5% of the general population. Dermatographia can occur at any age but is more common in young adults in their 20s and 30s. Dermatographia incidence has been reported to be higher in the following situations: […] The exact cause of dermatographia is unclear. The response to pressure on the skin is called Lewis’s triple response, caused by immune reaction and release of antibodies known as immunoglobulin E (IgE). […] The natural course of dermatographia is unpredictable and may last for months or years, or occur intermittently. In many people, dermatographia improves over the years and clears on its own or with treatment.
- #55 Dermatographia (Dermatographism): What It Is, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/17793-dermatographism-dermatographia
Dermatographia is a common, benign (not harmful) skin condition. It causes you to develop raised marks (wheals) or a reaction similar to hives when you scratch your skin. Pressure or rubbing (friction) may also cause a reaction. […] Dermatographia is common. It affects about 2% to 5% of the general population. […] Dermatographia may be an autoimmune disease. Healthcare providers and medical researchers think it might be an inappropriate response from your immune system. Your immune system registers scratching or pressure as an allergen. It sends the chemical histamine to the area to remove the allergen from your body. […] Generally, dermatographia leaves no lasting marks, causing only minor, short-lived irritation and symptoms. The condition may last anywhere from months to years, or you may have it throughout your life.
- #56 Dermographismhttps://dermnetnz.org/topics/dermographism
Dermographism can appear at any age, including children, but onset is most common in young adults. […] The incidence of true dermographism does not appear to be increased in association with atopy, although this is still debated in the literature. […] Dermographism is a clinical diagnosis elicited using a sufficiently firm stroke of the skin usually across the back and waiting several minutes for the reaction to develop. […] Dermographism can last for months or years, with idiopathic symptomatic dermographism typically persisting on average for 6 years.
- #57 Dermographismhttps://dermnetnz.org/topics/dermographism
Dermographism can appear at any age, including children, but onset is most common in young adults. […] The incidence of true dermographism does not appear to be increased in association with atopy, although this is still debated in the literature. […] Dermographism is a clinical diagnosis elicited using a sufficiently firm stroke of the skin usually across the back and waiting several minutes for the reaction to develop. […] Dermographism can last for months or years, with idiopathic symptomatic dermographism typically persisting on average for 6 years.
- #58 Physical urticarias (adrenergic urticaria, cholinergic urticaria, pressure urticaria, dermographism) – Dermatology Advisorhttps://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/physical-urticarias-adrenergic-urticaria-cholinergic-urticaria-pressure-urticaria-dermographism/
Dermographic urticaria: Dermographic urticaria (synonym: factitial urticaria) is defined by wheal formation induced by shearing forces on the skin. The wheals generally appear rapidly and itch. […] Dermographic urticaria is the most frequent form of physical urticaria, affecting mainly young adults. The mean duration is 6.5 years. […] The prevalence of physical urticaria varies in the literature. This is due to the variance in the strength of the physical stimulus required. Thus, it has been shown that in normal subjects 44.6% can react with an urticarial dermographism if a considerably increased pressure is used for testing. However, these subjects do not normally show signs of urticaria. […] With pressure urticaria, males are twice as frequently affected as females, the average age of onset is 30 years, and the mean duration is 69 years. Pressure urticaria can be disabling for patients whose jobs involve physical work.
- #59 Dermatographism | Treatment & Management | Point of Carehttps://www.statpearls.com/point-of-care/20387
Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition. […] Dermatographism is a benign condition. […] Compared to the other chronic urticarias, symptomatic dermatographism displays the most expedited clearance of the condition after 5 years (36%) and 10 years (51%).
- #60 How Do You Get Rid of Dermatographia?https://www.medicinenet.com/how_do_you_get_rid_of_dermatographia/article.htm
Dermatographia occurs in approximately 2% to 5% of the general population. Dermatographia can occur at any age but is more common in young adults in their 20s and 30s. Dermatographia incidence has been reported to be higher in the following situations: […] The exact cause of dermatographia is unclear. The response to pressure on the skin is called Lewis’s triple response, caused by immune reaction and release of antibodies known as immunoglobulin E (IgE). […] The natural course of dermatographia is unpredictable and may last for months or years, or occur intermittently. In many people, dermatographia improves over the years and clears on its own or with treatment.
- #61 Physical urticarias (adrenergic urticaria, cholinergic urticaria, pressure urticaria, dermographism) – Dermatology Advisorhttps://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/physical-urticarias-adrenergic-urticaria-cholinergic-urticaria-pressure-urticaria-dermographism/
Dermographic urticaria: Dermographic urticaria (synonym: factitial urticaria) is defined by wheal formation induced by shearing forces on the skin. The wheals generally appear rapidly and itch. […] Dermographic urticaria is the most frequent form of physical urticaria, affecting mainly young adults. The mean duration is 6.5 years. […] The prevalence of physical urticaria varies in the literature. This is due to the variance in the strength of the physical stimulus required. Thus, it has been shown that in normal subjects 44.6% can react with an urticarial dermographism if a considerably increased pressure is used for testing. However, these subjects do not normally show signs of urticaria. […] With pressure urticaria, males are twice as frequently affected as females, the average age of onset is 30 years, and the mean duration is 69 years. Pressure urticaria can be disabling for patients whose jobs involve physical work.
- #62 The Korean Journal of Internal Medicinehttps://www.kjim.org/m/journal/view.php?number=170063
Epidemiology of urticaria including physical urticaria and angioedema in Korea […] Despite the high burden and frequency of urticaria, its epidemiology is not well known. […] We investigated the epidemiology of various type of urticaria in Korea and changes in its annual prevalence over 5 years. […] The prevalence of all-type urticaria over the 5 years was 4.5% with a peak in individuals, especially females, aged 30 to 59 years. […] The annual prevalence of all-type urticaria, dermographism, and angioedema increased over the 5 years. […] The prevalence of urticaria has increased annually in Korea. […] Cholinergic urticaria showed unique distribution in its age and gender, and angioedema showed remarkable increases in annual prevalence, although the prevalence estimation is still exploratory and diagnosis of urticaria based on ICD-10 codes need to be validated.
- #63 The Korean Journal of Internal Medicinehttps://www.kjim.org/m/journal/view.php?number=170063
Epidemiology of urticaria including physical urticaria and angioedema in Korea […] Despite the high burden and frequency of urticaria, its epidemiology is not well known. […] We investigated the epidemiology of various type of urticaria in Korea and changes in its annual prevalence over 5 years. […] The prevalence of all-type urticaria over the 5 years was 4.5% with a peak in individuals, especially females, aged 30 to 59 years. […] The annual prevalence of all-type urticaria, dermographism, and angioedema increased over the 5 years. […] The prevalence of urticaria has increased annually in Korea. […] Cholinergic urticaria showed unique distribution in its age and gender, and angioedema showed remarkable increases in annual prevalence, although the prevalence estimation is still exploratory and diagnosis of urticaria based on ICD-10 codes need to be validated.
- #64 The Korean Journal of Internal Medicinehttps://www.kjim.org/m/journal/view.php?number=170063
Epidemiology of urticaria including physical urticaria and angioedema in Korea […] Despite the high burden and frequency of urticaria, its epidemiology is not well known. […] We investigated the epidemiology of various type of urticaria in Korea and changes in its annual prevalence over 5 years. […] The prevalence of all-type urticaria over the 5 years was 4.5% with a peak in individuals, especially females, aged 30 to 59 years. […] The annual prevalence of all-type urticaria, dermographism, and angioedema increased over the 5 years. […] The prevalence of urticaria has increased annually in Korea. […] Cholinergic urticaria showed unique distribution in its age and gender, and angioedema showed remarkable increases in annual prevalence, although the prevalence estimation is still exploratory and diagnosis of urticaria based on ICD-10 codes need to be validated.
- #65 Development of Migratory Dermatographism after Moderna COVID-19 Booster Vaccination – Southern Medical Associationhttps://sma.org/abstracts/development-of-migratory-dermatographism-after-moderna-covid-19-booster-vaccination/
Development of Migratory Dermatographism after Moderna COVID-19 Booster Vaccination. Dermatographism is an uncommon phenomenon seen in approximately 4-5% of the population. The association between dermatographism and routine vaccinations have not been well demonstrated. […] Although the Moderna booster dosage is half that of the primary vaccination series, it may lead to a heighted immunologic response in a certain subset of patients.
- #66 Development of Migratory Dermatographism after Moderna COVID-19 Booster Vaccination – Southern Medical Associationhttps://sma.org/abstracts/development-of-migratory-dermatographism-after-moderna-covid-19-booster-vaccination/
Development of Migratory Dermatographism after Moderna COVID-19 Booster Vaccination. Dermatographism is an uncommon phenomenon seen in approximately 4-5% of the population. The association between dermatographism and routine vaccinations have not been well demonstrated. […] Although the Moderna booster dosage is half that of the primary vaccination series, it may lead to a heighted immunologic response in a certain subset of patients.
- #67 Barzolvolimab Shows Promise for Cold Urticaria and Dermographism | MedPage Todayhttps://www.medpagetoday.com/meetingcoverage/acaaivideopearls/113098
The investigational monoclonal antibody barzolvolimab significantly improved provocation test outcomes and reduced symptoms compared with placebo in patients with cold urticaria and symptomatic dermographism, according to results from a phase II trial presented at the recent American College of Allergy, Asthma & Immunology annual meeting. […] The primary endpoint was to look at the percentage of patients with negative provocation test at week 12, either using the cold TempTest or for the symptomatic dermographism, the FricTest. […] So it was also very effective at reducing itch at the time of provocation compared to placebo for both groups. […] It was generally well tolerated. The safety profile was very consistent with previous studies. So there are phase III trials planned for CIndU [chronic inducible urticaria].
- #68 Dermographism treated with Xolair – Los Angeles Allergisthttps://allergylosangeles.com/allergy-blog/dermographism-treated-xolair/
Dermographism is the most common form of physical urticaria with a prevalence of up to 5%. […] The underlying cause is unknown and the triggers are usually impossible to avoid. […] There have been case reports of patients with dermographism who have failed elevated antihistamine dosing who have benefitted from Xolair. […] It is unclear why Xolair has strong effects in disease activity in dermographism. […] As of now, no relevant role in IgE in dermographism has been proven.
- #69 Dermatographism Treatment | Frontier Allergy Austinhttps://www.frontierallergist.com/conditions/dermatographism/
Dermatographism is a skin condition that causes redness, inflammation, welts, and itching when the skin is exposed to pressure, rubbing, or scratching. This condition is also called skin writing, dermographia, or dermatographic urticaria. […] Dermatographism is a common, benign skin condition that is not transmissible or life-threatening. […] It is estimated that up to 5% of the population may have dermatographism at some point in their lives. […] Dermatographia can affect people of any age, gender, or race. However, it is more commonly seen in younger people, particularly those under the age of 30. […] Women are more likely than men to develop dermatographism, and it may be more common in those who have a family history of the condition. […] Stress may exacerbate dermatographia. Avoiding stress wherever possible helps to prevent dermatographia. […] Your healthcare provider can diagnose dermatographia by writing on your skin. Theyâll use a tongue depressor to write or press on the skin of your arm or back. Dermatographia will carry the physical marks left behind in the same direction and orientation as the writing.
- #70 Dermatographism | Treatment & Management | Point of Carehttps://www.statpearls.com/point-of-care/20387
Furthermore, stressful events like pregnancy (commonly in the second trimester) and the onset of menopause have seen a higher incidence of the condition. […] Dermatographism is a benign condition. […] Compared to the other chronic urticarias, symptomatic dermatographism displays the most expedited clearance of the condition after 5 years (36%) and 10 years (51%).
- #71 Dermographism (Dermatographic Urticaria) – Online Dermatologyhttps://www.firstderm.com/dermographism/
Dermographism means writing on the skin and is a chronic form of urticaria (hives). This condition usually has no symptoms, and most people with dermographism are healthy. However, symptomatic dermographism may limit activity and thus reduce quality of life. […] The chance of dermographism increases during pregnancy (especially in the second half), at the onset of menopause, in atopic children, and in patients with Behet disease. Dermographism can appear in persons of any age but is more common in young adults, in their twenties and thirties. […] Usually, medical care is not necessary. However, you should seek medical care if dermographism is significantly affecting your quality of life. A doctor can diagnose the condition with a tongue depressor across the skin of your arm or back to see if a red, swollen line or a welt (wheal) appears within a few minutes.
- #72 Dermatographism Treatment In Gainesville, FLhttps://www.gainesvilledermatologyskinsurgery.com/dermatographism/
Dermatographism, also known as dermatographia or dermatographism urticaria, is a common, benign skin condition. Patients with dermatographism develop welts or localized hive-like reactions when they scratch, rub, or put pressure on their skin. Dermatographism is the most common type of physical or chronic inducible urticaria. This condition can appear at any age and may occur in children, though it is most common in young adults. […] Dermatographism appears within 57 minutes after the skin is irritated. If the skin is scratched or stroked and hives appear, the hives will occur in the same orientation and direction as the irritation. To diagnose dermatographism, our dermatology associates may use a medical instrument to scratch or press on the skin and wait to see if welts appear. […] Patients with asymptomatic dermatographism may not necessarily require medical treatment. However, patients with chronic symptoms from dermatographism or symptomatic dermatographism may require treatment from a dermatologist. Symptoms of this condition may be distressing and significantly impact a patient’s quality of life. […] For patients living with dermatographism, the condition may last months, years, or even throughout their lives. However, for many patients, the condition clears up in 12 years or in a way that skin irritations do not cause substantial symptoms to occur.
- #73https://journals.lww.com/jpat/fulltext/2006/10010/oral_manifestations_of_dermographism.11.aspx
Dermographism is a type of physical urticaria, which literally means writing on skin. Dermographism may be defined as 'the appearance of a linear wheal at the site of brisk stroke with a firm object or by any configuration appropriate to the eliciting event’. In approximately 5 % of the population, exaggerated response of this constitutional whealing to trivial pressure and shearing forces is seen and termed dermographism. […] Although reports of association of genital and bronchial mucosa are seen in the literature, there are no reports of oral cavity being affected. […] This article reports a patient with dermographism who was seen having exaggerated and peculiarly increased sensitivity of oral tissues to minor pressure. […] The condition was provisionally diagnosed as increased sensitivity of oral tissues associated with dermographism and/or pressure urticaria.
- #74https://journals.lww.com/jpat/fulltext/2006/10010/oral_manifestations_of_dermographism.11.aspx
Oral examination revealed highly sensitive oral tissues. This had adversely affected his oral hygiene procedures. […] The natural history of symptomatic dermographism and the peculiarly increased sensitivity of oral tissues remain unclear. In many patients, the condition clears within 1-2 years, however in some may follow a protracted course. Further studies are required to reveal the cause of this condition and also identify probable association with the oral cavity.
- #75 Dermographism: Writing on the skin – Clinical Advisorhttps://www.clinicaladvisor.com/features/dermographism-writing-on-the-skin/
The cause of dermographic urticaria is unknown, but appears to be related to a mast cell abnormality and is probably autoimmune in nature. […] It affects approximately 2% to 5% of the population. […] There does not appear to be a racial predication or gender specificity, although there is some research that suggests females may be slightly more affected than males. […] Dermographism is usually treated with antihistamines to stop the reaction. […] Statistically, about half of patients see marked improvement, though others may see no improvement at all. […] Dermographism is not life threatening but it can be troubling for those experiencing the symptoms. […] Clinicians should reassure their patients that this is not life threatening and can be properly managed.