Welt (bruise)

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Welt (bruise)

A welt is a raised, often reddish mark on the skin resulting from a blow or allergic reaction. Welts can vary in size, shape, and color, and may be painful or itchy. They are a form of skin lesion that can occur anywhere on the body. Welts are commonly associated with insect bites, urticaria (hives), or minor injuries. In the context of a bruise, a welt may refer to the initial raised, red stage of a bruise before it turns into the more familiar blue or purple color.

Causes[edit | edit source]

Welts are caused by a variety of factors, including physical trauma to the skin, allergic reactions, and infections. When the skin is hit with sufficient force, blood vessels near the surface may break, causing blood to leak into the surrounding tissue and leading to a raised area. In the case of allergic reactions, exposure to an allergen can trigger the release of histamine and other chemicals from cells in the skin, leading to swelling and redness.

Symptoms[edit | edit source]

The primary symptom of a welt is a raised, red, and often itchy or painful area on the skin. The size and shape of a welt can vary depending on the cause and the individual's reaction. Welts from physical trauma, such as a slap or a whip, may have a distinct outline corresponding to the object that caused the injury. Allergic welts, on the other hand, may appear more diffuse and can spread over larger areas.

Treatment[edit | edit source]

Treatment for welts depends on the underlying cause. For minor injuries and allergic reactions, over-the-counter treatments such as antihistamines and topical corticosteroids can help reduce itching and inflammation. Applying a cold compress to the affected area may also help alleviate symptoms. In cases of severe allergic reactions, medical attention may be necessary. Avoiding known allergens and wearing protective clothing can help prevent welts caused by insect bites or contact with irritants.

Prevention[edit | edit source]

Preventing welts involves avoiding the actions or substances that cause them. For individuals prone to allergic reactions, this may include avoiding specific foods, insect bites, or certain medications. Using protective gear during sports or physical activities can help prevent welts caused by physical trauma.


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Contributors: Prab R. Tumpati, MD