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05-19-2012, 03:48 PM
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Palmaris Slapus Abdominus
This rare condition is prevalent amongst athletes, particularly males in their early 20′s playing rugby at an elite level. Predisposing factors include significant anaerobic exercise (e.g. Super XV match); ethanol imbibing (e.g. post match beers) and the close presence of an immediate personal physical threat (e.g. prop forward). The condition was treated symptomatically by avoidance of provocative stimuli (removing the subject from the immediate physical threat) and the administration of 10mg loratadine (non-sedating anti-histamine). This phenomenon appears to be a variant of immediate pressure non-allergic urticaria. However, the precise classification of this urticarial manifestation is uncertain as it falls within the realms of dermatographic, cholinergic and pressure induced urticaria. |