A woman in her 30s presented with a 10-month history of painful pruritic eruption and painful red eyes. The eruption was exacerbated by stress but unrelated to time of day, ambient temperature, or sunlight exposure. Additionally, she reported edema of the dorsal hands and proximal fingers lasting approximately 8 hours during flares without any joint swelling. She also reported recent worsening of a chronic cough. She had an otherwise negative review of systems including denial of any other type of eruption, oral or nasal ulcers, seizures, chest pain, or arthritis. She had no notable medical or family history.
Dai C, Weinstein D. Urticaria and Episcleritis in a Woman With Chronic Cough. JAMA Dermatol. 2018;154(7):833–834. doi:10.1001/jamadermatol.2017.6134
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