Histological spectrum of cutaneous reactions to aspirin in chronic idiopathic urticaria.

Abstract:

BACKGROUND:During a clinical trial, we obtained 16 biopsies of skin eruptions induced by aspirin in patients with chronic idiopathic urticaria (CIU). In this setting, aspirin triggers skin eruptions through a well-established non-immunological mechanism involving the inhibition of cyclooxygenase type I. This presented the rare opportunity to evaluate histological features of a series of skin eruptions induced by a drug acting through a defined mechanism in a controlled experimental setting. OBJECTIVE:Histological analysis of 16 biopsies of skin eruptions induced by oral aspirin challenge in patients with CIU. DESIGN:Microscopic analysis of tissue sections. PATIENTS:16 patients with CIU. RESULTS:Aspirin (up to 500 mg) induced a restricted range of histological responses with a classic pattern of urticarial tissue reaction occurring in the majority of (12 of 16) cases. Two biopsies showed an interstitial fibrohistiocytic (granuloma annulare-like) reaction pattern. One case showed only a sparse perivascular lymphocytic infiltrate, and paucicellular dermal mucinosis was observed in one case. CONCLUSIONS:Polymorphism of histological patterns induced by aspirin suggests that in addition to the drug-specific mechanisms triggering drug eruptions, individual factors also play a role in determining the ultimate histological phenotype of a drug response.

journal_name

J Cutan Pathol

authors

Zembowicz A,Mastalerz L,Setkowicz M,Radziszewski W,Szczeklik A

doi

10.1111/j.0303-6987.2004.0195.x

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

323-9

issue

4

eissn

0303-6987

issn

1600-0560

pii

195

journal_volume

31

pub_type

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