The fluid inside blisters is serum, a product of the immune response, and contains no urushiol
In one series from a large gynecology practice, a lidocaine cocktail without bicarbonate (20,000 units heparin, 20 ml 2% lidocaine, 40 mg triamcinolone) improved symptoms for 73% of BPS/IC patients
Yang R, et al
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Nevertheless, the cytoprotective effect of LDHA overexpression can be counteracted by vascular endothelial growth factor A (VEGFA)