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Marcelo H. Grunwald, MD; Eyal Peretz, MD; Sima Halevy, MD
Soroka Medical Centre, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Arch Dermatol. 1999;135:1409-1414.

	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 74-year-old woman presented with a 2-week history of pruritic edematous lesions on her trunk and limbs. She had a 5-year history of hypertension and was being treated with enalapril and nifedipine. At the time the eruption appeared, the patient had a concurrent upper respiratory tract infection. On examination, numerous erythematous and edematous lesions, 2 to 10 cm in diameter, with a purpuric component were observed on the trunk and limbs (Figure 1). A biopsy specimen was obtained. (Figure 2).

Figure 1.

Figure 2.

What is your diagnosis?

Diagnosis: Urticarial vasculitis.

Microscopic examination of the biopsy specimen revealed damage of the small vessels of the upper dermis. A neutrophilic infiltrate was found in the vessel walls and focally in the interstitium. The results of routine blood tests and urinalysis were within normal limits except for a transient elevation of . . . [Full Text of this Article]