To the Editor.—
In the April 1972 issue of the Archives, Lockshin and Hurley reported three cases with urticaria associated with viral hepatitis (105:570, 1972). We have observed a similar association in eight patients with hepatitis-associated antigen (HAA) or Australia antigen positive hepatitis.1 Current literature bears out the association of a serum sicknesslike prodrome with HAA positive hepatitis, and it seems reasonable to suggest that the HAA is the "urticariogenic" factor in their cases. It is unfortunate that the authors did not search for the Australia antigen in their cases. We hope the following case report will illustrate the association of urticaria, Australia antigen, and hepatitis.
Report of a Case
A 30-year-old male medical student developed urticarial lesions three days prior to presentation to the dermatology clinic. In addition, he had two weeks of mild anorexia and distaste for cigarettes. He remembered puncturing his finger with a pair
Koehn GG, Thorne EG. Urticaria and Viral Hepatitis. Arch Dermatol. 1972;106(3):422. doi:10.1001/archderm.1972.01620120096034