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What is a Wheal Lesion?

Published in Skin Lesions 2 mins read

A wheal lesion is a raised, swollen area on the skin that's often itchy and changes shape. Think of it as a welt or hive. It's characterized by its elevated, discolored appearance and can be caused by various factors, including insect bites, allergic reactions, eczema, or minor wounds.

Understanding Wheal Lesions:

  • Appearance: Wheals are elevated patches of skin that are discolored and change in size and shape. They are usually itchy.
  • Causes: Several factors can trigger wheal formation, such as:
    • Insect bites and stings
    • Allergic reactions to substances that touch the skin
    • Eczema
    • Other minor skin injuries
  • Synonyms: Wheals are also commonly known as welts or hives.
  • Duration: Typically, a wheal will last for less than 24 hours.
  • Medical Context: Wheals are a key characteristic of urticaria (hives), a mast cell-dependent condition often involving angioedema (swelling deeper in the skin). A single lesion of urticaria is a wheal, resulting from short-lived edema in the upper and mid-dermal skin layers.

Examples of Wheal-Causing Conditions:

  • Insect bites: Mosquito bites or bee stings often result in itchy wheals.
  • Allergic reactions: Contact with certain plants (like poison ivy) or allergens can produce wheals.
  • Urticaria (hives): This condition is characterized by the appearance of multiple wheals across the body.

Treatment:

Treatment depends on the underlying cause. Antihistamines are often used to reduce itching and flatten wheals, especially in cases of urticaria. For severe reactions, medical attention may be necessary.

Note: This information is for general knowledge and should not be considered medical advice. Consult a healthcare professional for any skin concerns.

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