Bolt J, Schellmann B, Braun-Falco O
Institut für Rechtsmedizin, Universität Erlangen-Nürnberg, Bundesrepublik Deutschland.
Z Rechtsmed. 1990;103(7):541-6.
A case of sudden death of a 25-year-old man, with a six years history of Urticaria pigmentosa, is reported. On a cold morning in November he was found lying dead on the lawn. Histology revealed no signs of systemic mastocytosis. The biochemical investigations (high free histamine level in urine) in addition to a BAC of 0,72 mg/g and the scene conditions (cold irritation) explained the mechanism of death, a systemic anaphylactoid reaction.
报告了一例25岁男性猝死病例，该患者有六年的色素性荨麻疹病史。11月的一个寒冷早晨，他被发现死在草坪上。组织学检查未发现系统性肥大细胞增多症的迹象。生化检查（尿中游离组胺水平高），加上血液酒精浓度为0.72mg/g以及现场情况（寒冷刺激），解释了死亡机制，即全身性类过敏反应。
