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KMID : 0363219920300010087
Korean Journal of Dermatology
1992 Volume.30 No. 1 p.87 ~ p.92
A Case of Hypocomplementemic Urticarial Vasculitis Syndrome with Cold Urticaria




Abstract
A 38-year-old man presented with a 2-year history of recurrent urticaria. abdominal pain and arthralgia of his finger joints. These symptoms were not controlled in spite of taking medication and had a tendency to be aggravated in the winter.
Laboratory
findings revealed hypocomlementemia, hypergammaglobulinemia and a positive reaction with an ice cube test.
Skin biopsy specimen taken from the urticarial lesion of the left upper arm showed leukocytoclastic vasculitis with perivascular neutrophilic infiltration, nuclear dusts, and extravasation of red blood cells. We thus made the diagnosis of
hypocomplementemic urticarial vasculitis syndrome with cold urticaria. The patient was treated with systemic corticosteroids and antihistamines. (Kor J Dermatol 1992 ; 30 (1) : 87-92)
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