I knew vaguely that steroids were not-to-be-taken-lightly drugs. The treatment worked beautifully, ending the itch and beating down the swelling within a day or two. But you can understand why I was struck by this recent headline from the American College of Emergency Physicians: "Got Hives? He prescribed an over-the-counter antihistamine, Benadryl, and a steroid, prednisone. ) and hip (why would a bed bug bite on a fat pad instead of near a vein? Every day or two, a new one would appear; some in clusters and others alone; some as small as pimples, but one swelling almost to the size of a ping pong ball. It took a seasoned doctor about 10 seconds to diagnose me with hives: the often-mysterious allergic reaction that affects about one-fifth of us at some time in our lives. The baffling, itchy red welts began in early fall, cropping up in odd places: on my torso (why would a mosquito bite a spot that wasn't exposed? They carry the potential for significant side effects: 'roid rage, blood sugar spikes, long-term risk of infection and bone loss. Hold The Steroids."The press release about the Annals Of Emergency Medicine study included this:"Prednisone is a strong and great drug for certain problems, but it is no better than antihistamine treatment for patients who are itching with hives," said lead study author Dr. Caroline Barniol of the Centre Hospitalier Universitaire in Toulouse, France. “The antihistamine levocetirizine alone achieved full itching relief within two days for 76 percent of patients. Hives (or urticaria) are itchy, erythematous (reddish), often elevated skin lesions that blanch with pressure. Urticaria usually result from the release of mast-cell mediators (e.g. histamine, etc.) within the upper layers of the skin, causing blood vessel dilation, inflammation and local extravasation (or leakage) of intravascular fluid from capillaries into the skin. Hives come in all sizes and shapes, from tiny 2-3 mm to large irregularly shaped hives covering most of the body. Other erythematous, itchy rashes are often erroneously attributed to a diagnosis of hives. Such rashes include erythema multiforme, insect bites, cutaneous lymphoma, dermatitis herpetiformis, atopic dermatitis, porphyria, contact dermatitis, and dozens of other skin conditions. Individual inflammatory skin lesions persisting for days and resulting in lasting discoloration or hyper-pigmentation of the skin are probably not hives, but a result of some other inflammatory disorder (e.g. Skin biopsy of such lesions may be helpful in reaching the correct diagnosis.
Tell your doctor if you experience serious side effects of prednisone. severe allergic reactions skin rash, itching, hives, swelling of your lips/face/tongue. One-fifth of us get hives at some point, and most of us may need only. an over- the-counter antihistamine, Benadryl, and a steroid, prednisone.