Common urticaria may be caused by a multitude of medications. If the lesions are persistent and the histology shows a vasculitic pattern of inflammation, this may not be common hives, but rather, urticarial vasculitis. We report the first two cases of procainamide-induced urticarial vasculitis and suggest that recognition of this clinical syndrome may be helpful to clinicians in deciding which drug to discontinue when faced with a patient with an urticarial cutaneous reaction who is receiving multiple medications. In addition, recognition of this syndrome should prompt further evaluation of these patients for features of systemic lupus erythematosus.
Procainamide-induced urticarial vasculitis / J. P., Knox; S. E., Welykyj; Gradini, Roberto; M. C., Massa. - In: CUTIS. - ISSN 0011-4162. - STAMPA. - 42:5(1988), pp. 469-472.
Procainamide-induced urticarial vasculitis
GRADINI, Roberto;
1988
Abstract
Common urticaria may be caused by a multitude of medications. If the lesions are persistent and the histology shows a vasculitic pattern of inflammation, this may not be common hives, but rather, urticarial vasculitis. We report the first two cases of procainamide-induced urticarial vasculitis and suggest that recognition of this clinical syndrome may be helpful to clinicians in deciding which drug to discontinue when faced with a patient with an urticarial cutaneous reaction who is receiving multiple medications. In addition, recognition of this syndrome should prompt further evaluation of these patients for features of systemic lupus erythematosus.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.