A case of vasculitic wheals

Urticarial vasculitis is a rare diagnosis defined by its distinct clinical and pathologic entities. The majority of cases are idiopathic; however, it has been linked to various etiologies including autoimmune, viral, paraneoplastic as well as pharmacotherapy. A 42-year-old Jamaican woman G1PO with sickle cell trait was admitted for persistent fevers and rigors for 2 weeks. This was associated with progressive burning, erythematous, raised plaques and patches involving the chest and trunk. While hospitalized she continued to spike fevers up to 103 °F despite being on broad spectrum antibiotics and acetaminophen.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research