Abstract:
BACKGROUND:Few studies have examined patients initially presenting with clinical features of urticarial dermatitis (UD). OBJECTIVE:We sought to examine clinical and laboratory evaluations and final diagnoses of patients with clinical features of UD. METHODS:This was a retrospective review of patients with UD seen at Mayo Clinic between 2006 and 2012, and formal review of available skin biopsy specimens to identify any patients who also met microscopic criteria for UD. RESULTS:Of 146 patients with clinical features of UD (mean age at onset, 60 years), 88 (60%) were female. The most common final diagnoses were: UD (70 patients [48%]); dermatitis not otherwise specified (24 [16%]); urticaria (14 [10%]); drug reaction (9 [6%]); bullous pemphigoid (6 [4%]); atopic dermatitis (5 [3%]); and contact dermatitis (4 [3%]). Of 40 patients with clinical and microscopic features of UD, 46% (16 of 35) had no response to treatment, whereas 10% (4 of 40) had a newly diagnosed concurrent malignancy (within 4 months of UD onset). LIMITATIONS:This was a retrospective study. CONCLUSION:Clinical features of UD occur in various dermatologic diseases. Some patients with clinical and microscopic features of UD have associated malignancies. Further studies should assess optimal evaluation and management of UD.
journal_name
J Am Acad Dermatoljournal_title
Journal of the American Academy of Dermatologyauthors
Hannon GR,Wetter DA,Gibson LEdoi
10.1016/j.jaad.2013.08.050subject
Has Abstractpub_date
2014-02-01 00:00:00pages
263-8issue
2eissn
0190-9622issn
1097-6787pii
S0190-9622(13)01017-7journal_volume
70pub_type
杂志文章abstract::Patients with dark skin can present with morphologic variants, subtle disease presentations, and disease manifestations requiring unique management and therapies. With African Americans, Asians, and Hispanic Americans becoming a significant portion of the population, dermatologists must be able to diagnose and manage ...
journal_title:Journal of the American Academy of Dermatology
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更新日期:2006-10-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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journal_title:Journal of the American Academy of Dermatology
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abstract::Vulvar melanosis is a condition in which intensely pigmented irregular macules, clinically mimicking malignant melanoma, appear on the vulva. A biopsy specimen shows only marked lower epidermal pigmentation without any melanocytic atypia or nesting. The process is benign, and reassurance is the only treatment. ...
journal_title:Journal of the American Academy of Dermatology
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pub_type: 杂志文章
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更新日期:2008-04-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章
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更新日期:1984-01-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-09-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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更新日期:2019-08-01 00:00:00