Koul P A, Wahid A, Shah S U, Koul A N, Saleem S M
Department of Internal Medicine, Institute of Medical Sciences, Srinagar.
J Assoc Physicians India. 2000 May;48(5):536-7.
A 55 years post menopausal lady presented with puffiness of face, and a pruritic urticarial rash over face and upper trunk of one week duration with accompanying dysphagia. Clinical examination revealed an urticarial rash over face and upper trunk, two small ulcers over floor of mouth and evidence of bilateral VIII, IX and Xth cranial nerve palsies. Hypocomplementemia, negative immune profile and evidence of vasculitis on skin biopsy suggested a diagnosis of hypocomplementemic urticarial vasculitis. The patient responded to a course of steroids.
一位55岁的绝经后女性出现面部肿胀，面部和上半身出现瘙痒性荨麻疹皮疹，持续一周，并伴有吞咽困难。临床检查发现面部和上半身有荨麻疹皮疹，口腔底部有两个小溃疡，并有双侧第八、九和十颅神经麻痹的迹象。补体血症、免疫指标阴性以及皮肤活检显示血管炎，提示诊断为低补体血症性荨麻疹性血管炎。患者对类固醇疗程有反应。
