✅Patient Overview

A middle-aged male patient visited G Square Skin & Aesthetics Clinic, Hubli, complaining of painful, burning red rashes over his chest, back, and limbs for over 6 weeks. Despite seeing multiple doctors and using conventional antihistamines, his symptoms persisted with minimal relief.

These skin rashes were raised, itchy, and left behind dark pigmentation, indicating a deeper inflammatory or vascular condition rather than typical urticaria (hives).

 

🔬Diagnosis: Urticarial Vasculitis

After a detailed clinical evaluation and relevant laboratory tests (including ESR, CRP, ANA), the patient was diagnosed with Urticarial Vasculitis – a rare form of chronic inflammation involving small blood vessels.

Key Signs That Helped Clinch the Diagnosis:

Rashes lasting more than 24 hours

Burning sensation and pain (more than just itching)

Post-inflammatory dark spots (pigmentation)

Poor response to standard antihistamines

 

💊Treatment Approach at G Square

Dr. Girishkumar Chalawadi and the team started a non-steroidal treatment protocol, focusing on long-term effectiveness and safety.

Medications Used:

Oral Colchicine – chosen for its strong anti-inflammatory effect, particularly effective in neutrophil-driven skin conditions like vasculitis

Antihistamines – for symptomatic relief

Moisturizers (Emollients) – to soothe and protect the skin barrier

📸 Visual Results: Before & After

(Images published with patient consent)

 

Before Treatment:

Painful, red, raised lesions with some purplish discoloration and dark patches

Extensive involvement of chest, back, and limbs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

After 4 Weeks of Treatment:

Drastic reduction in redness and swelling

No new lesions formed

Existing marks healed with minimal pigmentation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

These images highlight the efficacy of Oral Colchicine as a safe and steroid-free option in managing urticarial vasculitis.

 

Why Colchicine for Urticarial Vasculitis?

Oral Colchicine is increasingly being used in dermatology for chronic inflammatory skin conditions because:

It’s a steroid-sparing option with fewer long-term side effects

It modulates neutrophilic inflammation effectively

Safe for long-term management in recurring skin vasculitis

 

📌Key Takeaways

Urticarial Vasculitis is often misdiagnosed as simple urticaria.

Early and accurate diagnosis can prevent long-term skin damage.

Oral Colchicine offers a safe and effective treatment route without relying on steroids.

At G Square Skin & Aesthetics, Hubli, we specialize in evidence-based, personalized skin treatments.

 

 

📞Schedule Your Consultation Today

If you're experiencing persistent or painful skin rashes, don’t ignore them — it could be more than just allergies or common hives.

📍Visit Us: G Square Skin & Aesthetics Clinic, Hubli

Call: 9110610004
Website: www.gsquareskinandaesthetics.in