Urticaria multiforme, an “erythema multiforme” simulator 2018 Ignacio Torres-Navarro.pdf

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Urticariamultiforme,an“erythemamultiforme”simulator
Urticariamultiforme,unsimuladorde«eritemamultiforme»
a,∗aa,b
IgnacioTorres-Navarro,AntonioSahuquillo-Torralba,RafaelBotella-Estrada
a
ServiciodeDermatología,HospitalUniversitarioyPolitécnicoLaFe,Valencia,Spain
b
DepartamentodeDermatología,FacultaddeMedicina,UniversidaddeValencia,Valencia,Spain
Figure1.
◦
A56-year-oldwomanwhocametotheEmergencyDepartmentduetoafew-hours’
diagnosedwithpharyngitisandhadreceivedtreatmentwithamoxicillin(500mgevery8h).

andelevatederythema-oedematousmargins().Thelesionswerepredominantlyfoundinthetrunkandabdomen,extendingtotheproximalpart
ofthelimbs().Itassociatedurticarialplaquesintheneckwithextensiontothechin(,arrows).
Urticariamultiforme(UM)wasdiagnosed,probablytriggeredbyantibioticand/orviraltonsillitis.
UMisasubtypeofacuteurticaria,histologicallyidenticaltothisoneandsonamedbecauseofthesimilarityofitslesionswitherythemamultiforme(EM).
UMisabenignandself-
byafeverishprocess(especiallyviralinfections),drugs(.,amoxicillinorparacetamol)orvaccines.
EM,contrarytoUM,presentswithageneraldeterioration,fixedpolymorphousskinandmucousmembranelesions,absenceofoedemaand,histologically,
interfacedermatitiswithvacuolationofthebasallayerandkeratinocytenecrosis.
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Pleasecitethisarticleas:Torres-NavarroI,Sahuquillo-TorralbaA,Botella-,unsimuladorde«eritemamultiforme».MedClin(Barc).
2018;151:e41.
∗
Correspondingauthor.
E-mailaddress:******@(-Navarro).
2387-0206/©2018ElsevierEspana,˜.