Urticaria adrenergic F54 und L50.-
Synonym(s)
History This section has been translated automatically.
Shelley and Shelley 1985
Definition This section has been translated automatically.
Controversial entity (type physical urticaria) where, after episodes of severe emotional stress, itching and urticarial efflorescences are said to occur.
Etiopathogenesis This section has been translated automatically.
The etiopathogenesis is unclear
Clinic This section has been translated automatically.
Urticarial itchy exanthema of 0.2-0.3cm large wheals which are typically surrounded by a pale halo.
Laboratory This section has been translated automatically.
In serum, catecholamines and IgE are elevated (Hogan SR et al. 2014).
Histology This section has been translated automatically.
Bulky intradermal perivascular infiltrate from lymphocytes and eosinophilic granulocytes (Lang C et al. 2016).
Diagnosis This section has been translated automatically.
Clinic, intradermal test with adrenaline (10ng adrenaline in 0.02ml physiological saline solution) is said to lead to local itching and wheals (Haustein UF 1990)
Differential diagnosis This section has been translated automatically.
Therapy This section has been translated automatically.
One with beta-blockers is recommended (2x25mg propanolol) possibly combined with antihistamines (Hogan SR Versuch et al. 2014). In a single case, an anxiolytic benzodiazepine improved symptoms (Kawakami Y et al. 2015).
Literature This section has been translated automatically.
- Haustein UF (1990) Adrenergic urticaria and adrenergic pruritus. Acta Derm Venereol.70:82-84.
- Hogan SR et al (2014) Adrenergic urticaria: review of the literature and proposed mechanism. J Am Acad Dermatol 70:763-766.
- Kawakami Y et al (2015) Refractory case of adrenergic urticaria successfully treated with clotiazepam. J Dermatol 42:635-637
- Lang C et al (2016) A Case of Adrenergic Urticaria Associated with Vitiligo. Dermatopathology (Basel) 3:83-86.