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Urticarial vasculitis: a unique presentation
Landon E Stigall1, Justin R Sigmon, Stuart S Leicht
1Division of Dermatology, Department of Internal Medicine, East Tennessee State University Quillen College of Medicine, 1809 West Lakeview Drive #21, Johnson City, TN 37601, USA. lstigall2@gmail.com
Abstract:
Urticarial vasculitis is a relatively rare diagnosis in a patient presenting with urticaria. The process is classically described as a generalized eruption, painful more so than pruritic, lasting longer than 24 hours. Two forms of urticarial vasculitis have been described: ahypocomplementemic form more commonly associated with systemic disease, and a normocomplementemic form that is generally limited to the skin. We report on a uniquely distributed vasculitic eruption restricted mainly to the anterior belt line area in a patient presenting with urticaria and intense pruritus. Urticarial vasculitis as a unique entity is reviewed along with its clinical and histopathologic presentation and the pharmacologic agents used for treatment.
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