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Thomas J. Eads, MD; Scott Fretzin, MD; Charles Lewis, MD
Indiana University Medical Center, Indianapolis, Ind

Arch Dermatol. 1998;134:231-236.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 30-year-old man presented with a 2-week history of an extensive pruritic and painful eruption that began on his palms and, over 4 days, spread to involve his extremities, trunk, and face. He had no significant medical history or history of skin disease. There were no systemic complaints, except for mild arthralgias. Physical examination revealed right axillary lymphadenopathy and numerous edematous, erythematous, and violaceous plaques arranged in solitary, annular, and double-ring configurations (Figure 1).

Figure 1.

Two punch biopsy specimens were obtained from representative lesions on the left leg (Figure 2).

Figure 2.

What is your diagnosis?

DIAGNOSIS: Urticarial vasculitis.

The 2 punch biopsy specimens showed a normal epidermis, with papillary dermal edema. There was an intense perivenular and interstitial infiltrate of neutrophils admixed with extravasated erythrocytes. Fibrin deposition was present in and around several vessel walls.

Results of . . . [Full Text of this Article]

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