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Case Reports
. 2016 Dec 15;3(4):83-86.
doi: 10.1159/000452302. eCollection 2016 Oct-Dec.

A Case of Adrenergic Urticaria Associated with Vitiligo

Caroline Lang  1 , Gürkan Kaya  1
Affiliations
Case Reports

A Case of Adrenergic Urticaria Associated with Vitiligo

Caroline Lang et al. Dermatopathology (Basel). .

Abstract

Adrenergic urticaria is a rare form of urticaria, induced by a stress-induced concomitant release of epinephrine and norepinephrine. Here we describe the case of a 60-year-old female patient presenting with disseminated erythematous papules surrounded by a white halo and vitiligo lesions on the hands, arms, and feet. Histological examination of one of the erythematous papules showed a dermal inflammatory infiltrate composed of lymphocytes and eosinophils of perivascular and interstitial localization. After 2 weeks of treatment with antihistamines, the lesions disappeared completely.

Keywords: Adrenergic urticaria; Catecholamines; Vitiligo.

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Figures

Fig. 1
Fig. 1
Erythematous papules surrounded by a white halo on the abdomen (a) and thighs (b, c) and vitiligo lesions on the hands (d).
Fig. 2
Fig. 2
Perivascular and interstitial dermal infiltrate of lymphocytes and eosinophils in the superficial and reticular dermis. Original magnification 1× (a), 2× (b), 5× (c), and 20× (d).
See this image and copyright information in PMC

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