Children have poor physical resistance, and their bodies can easily develop problems due to a variety of factors. Wind-induced rash is a typical one. This is a type of pediatric urticaria, which is recurrent and persistent, and is characterized by itchy skin and rash. Its long-term presence will definitely make parents very worried. So, what should we do if children get rashes due to wind? Let’s look at the solution below. Pediatric urticaria, commonly known as wheals, is a common allergic skin disease characterized by dilation of small blood vessels in the skin and mucous membranes and increased permeability. It is mainly manifested by erythema and localized edema reactions of varying sizes on the skin, often accompanied by itching. The basic lesion is the temporary dilation of capillaries in the skin and mucous membranes and a sudden increase in permeability. Most of the diseases are caused by allergic reactions, and the acute cases usually have a good prognosis. There are many causes of urticaria. Bacteria, viruses, parasites can all become allergens. Pollen, dust, chemicals, and even some foods can become allergens. Chronic urticaria refers to wheals that occur at least twice a week and last ≥ 6 weeks. A small number of patients with chronic urticaria may also experience intermittent attacks. treat 1. Find and eliminate allergens Treat the disorder causing urticaria. Autoimmune urticaria is difficult to treat, but giving intravenous immune globulin or plasma dialysis can relieve symptoms. 2. Apply anti-itch lotion topically Such as calamine lotion (with menthol added) or zinc oxide lotion. 3. Medication (1) Oral antihistamines. Commonly used first-generation antihistamines include chlorpheniramine maleate tablets, promethazine hydrochloride, diphenhydramine, doxepin, ketotifen, etc.; second-generation H1 receptor antagonists have the advantages of good efficacy and no obvious central nervous system inhibitory effect. They can be used for children over 2 years old. Second-generation antihistamines include cetirizine hydrochloride, loratadine, levocetirizine, desloratadine, fexofenadine, acrivastine, ebastine, epinastine, mizolastine, olopatadine, etc. Take orally once daily. Calcium supplements and vitamin C can reduce the permeability of capillaries and help relieve symptoms. The combination of H2 receptor antagonists (such as cimetidine and ranitidine) and H1 receptor antagonists can treat acute urticaria with obvious abdominal pain. Cyproheptadine can be used to treat chronic or cold urticaria. (2) For stubborn cases, oral prednisone tablets or intravenous hydrocortisone may be used as appropriate, but it is not a routine medication. Different drugs have significantly different minimum age limits and dosages, and should be used in accordance with the drug instructions. In children who do not respond to treatment, a combination of first-generation (for evening use) and second-generation (for daytime use) antihistamines can be used, but care should be taken to avoid the use of sedating antihistamines in school-age children. 4. Symptomatic treatment Children with bronchospasm or laryngeal edema can be given a subcutaneous injection of 1:1000 epinephrine solution. 5. Desensitization treatment For chronic urticaria that is not well responded to conventional drug treatment, corresponding desensitization treatment can be given according to the results of allergen skin tests, which can often achieve certain results. |
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