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Sep 2011

Pruritic Urticarial Skin Lesions —Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2011;147(9):1097-1102. doi:10.1001/archdermatol.2011.253-a

A 65-year-old woman presented with mildly pruritic urticarial skin lesions that did not respond to treatment with antihistamines. Her medical history revealed that she had had chronic urticaria since 2001; restrictive myocardiopathy, probably due to a nonconfirmed deposit disease, such as amyloidosis; and chronic renal insufficiency with nephrotic-range proteinuria. She also hadself-limited febrile episodes with temperatures up to 39 °C, which occurred during the urticarial rash events.

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