Differential Diagnosis of Urticarial Lesions

Urticaria is a mast cell-dependent disease, characterized by the presence of wheals, angioedema, or both in the absence of systemic symptoms. It is a common disease worldwide, with an important health burden especially in chronic situations, that last more than 6 weeks. Although urticaria is usually...

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Main Authors: Ana Luísa Matos, Carolina Figueiredo, Margarida Gonçalo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Allergy
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/falgy.2022.808543/full
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author Ana Luísa Matos
Carolina Figueiredo
Margarida Gonçalo
Margarida Gonçalo
author_facet Ana Luísa Matos
Carolina Figueiredo
Margarida Gonçalo
Margarida Gonçalo
author_sort Ana Luísa Matos
collection DOAJ
description Urticaria is a mast cell-dependent disease, characterized by the presence of wheals, angioedema, or both in the absence of systemic symptoms. It is a common disease worldwide, with an important health burden especially in chronic situations, that last more than 6 weeks. Although urticaria is usually a straightforward diagnosis, some diseases presenting with urticarial lesions must be excluded, particularly urticarial vasculitis and auto-inflammatory syndromes. In these settings additional atypical features are often present (long-lasting lesions, bruising, fever, malaise, arthralgia), allowing the clinician to suspect a diagnosis other than urticaria. The authors propose an approach based on these atypical features, the presence or absence of systemic symptoms and on skin histopathology as well as some blood parameters.
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spelling doaj.art-6f7996bcf1bd404e8bae8528d77bfa692022-12-22T03:28:30ZengFrontiers Media S.A.Frontiers in Allergy2673-61012022-06-01310.3389/falgy.2022.808543808543Differential Diagnosis of Urticarial LesionsAna Luísa Matos0Carolina Figueiredo1Margarida Gonçalo2Margarida Gonçalo3Dermatology Department, Coimbra University Hospital Center, Coimbra, PortugalDermatology Department, Coimbra University Hospital Center, Coimbra, PortugalDermatology Department, Coimbra University Hospital Center, Coimbra, PortugalFaculty of Medicine, Dermatology Department, University of Coimbra, Coimbra, PortugalUrticaria is a mast cell-dependent disease, characterized by the presence of wheals, angioedema, or both in the absence of systemic symptoms. It is a common disease worldwide, with an important health burden especially in chronic situations, that last more than 6 weeks. Although urticaria is usually a straightforward diagnosis, some diseases presenting with urticarial lesions must be excluded, particularly urticarial vasculitis and auto-inflammatory syndromes. In these settings additional atypical features are often present (long-lasting lesions, bruising, fever, malaise, arthralgia), allowing the clinician to suspect a diagnosis other than urticaria. The authors propose an approach based on these atypical features, the presence or absence of systemic symptoms and on skin histopathology as well as some blood parameters.https://www.frontiersin.org/articles/10.3389/falgy.2022.808543/fullurticariaangioedemaurticarial syndromesautoinflammatory syndromeschronic spontaneous urticaria
spellingShingle Ana Luísa Matos
Carolina Figueiredo
Margarida Gonçalo
Margarida Gonçalo
Differential Diagnosis of Urticarial Lesions
Frontiers in Allergy
urticaria
angioedema
urticarial syndromes
autoinflammatory syndromes
chronic spontaneous urticaria
title Differential Diagnosis of Urticarial Lesions
title_full Differential Diagnosis of Urticarial Lesions
title_fullStr Differential Diagnosis of Urticarial Lesions
title_full_unstemmed Differential Diagnosis of Urticarial Lesions
title_short Differential Diagnosis of Urticarial Lesions
title_sort differential diagnosis of urticarial lesions
topic urticaria
angioedema
urticarial syndromes
autoinflammatory syndromes
chronic spontaneous urticaria
url https://www.frontiersin.org/articles/10.3389/falgy.2022.808543/full
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AT carolinafigueiredo differentialdiagnosisofurticariallesions
AT margaridagoncalo differentialdiagnosisofurticariallesions
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