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Urticaria associated with dermatophytosis.

J Méndez1, A Sánchez, J C Martínez

  • 1Allergy Section. Hospital Río Carrión. Palencia, Spain.

Allergologia Et Immunopathologia
|December 5, 2002
PubMed
Summary
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This case study suggests a link between fungal infections like dermatophytosis and generalized urticaria. Prompt treatment of the fungal infection resolved the skin condition and hives.

Area of Science:

  • Dermatology
  • Allergology
  • Mycology

Background:

  • Urticaria is occasionally linked to fungal infections, but this association is often dismissed as coincidental.
  • Investigating potential triggers for chronic or recurrent urticaria is crucial for effective patient management.

Observation:

  • A patient experienced two distinct episodes of generalized urticaria concurrently with dermatophytosis.
  • Standard allergy testing, including skin prick tests for common allergens, yielded negative results.
  • Fungal culture from skin scrapings identified Epidermophyton floccosum.

Findings:

  • The patient's urticaria and dermatophytosis resolved within 10-14 days following treatment with oral antihistamines and topical clotrimazole.
  • The resolution of both conditions after antifungal therapy supports a causal relationship.

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Implications:

  • This case highlights the importance of considering tinea infections as a potential cause of urticaria.
  • Allergologists should include fungal infections in their differential diagnosis for patients presenting with unexplained urticaria.