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How do you manage recurrent urticarial lesions in a patient with underlying connective tissue disease that is otherwise well-controlled?

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3 Answers
Mednet Member
Mednet Member
Dermatology · Forefront Dermatology

Similar to other cases of chronic urticaria - skin-directed therapy with TCS + high dose daily antihistamines (e.g. fexofenadine 180 mg bid + doxepin 10 mg qhs). Then in recalcitrant cases, you can use urticaria drugs (can go for dapsone, MTX or MMF if you want to also target underlying CTD or can g...