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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
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Normocomplementemic Urticarial Vasculitis: An Unusual Presentation.

Robin George Manappallil1, Bhargavan Pallivalappil1, Abhay Mani Martin2

  • 1Department of Internal Medicine, Baby Memorial Hospital, Kozhikode, Kerala, India.

Indian Journal of Dermatology
|June 23, 2020
PubMed
Summary
This summary is machine-generated.

Urticarial vasculitis (UV) presents as itchy wheals lasting over 24 hours. This case highlights a rare bullous form of normocomplementemic UV in a middle-aged woman.

Keywords:
Complementcutaneous vasculitisleukocytoclastic vasculitisurticaria

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Area of Science:

  • Dermatology
  • Immunology
  • Pathology

Background:

  • Urticarial vasculitis (UV) is a cutaneous vasculitis characterized by wheals persisting longer than 24 hours.
  • Clinical presentation typically involves erythema and wheals.
  • Classification of UV subtypes is determined by complement levels.

Observation:

  • A middle-aged female patient presented with a vesiculobullous lesion on her leg following a trekking activity.
  • The patient's condition was diagnosed as normocomplementemic urticarial vasculitis.

Findings:

  • The case illustrates a rare bullous presentation of urticarial vasculitis.
  • Normocomplementemic urticarial vasculitis can manifest with atypical lesions such as blisters.

Implications:

  • This case expands the clinical spectrum of urticarial vasculitis presentations.
  • Highlights the importance of considering rare variants in diagnosing cutaneous vasculitis.
  • Further research into the pathogenesis of bullous UV may be warranted.