Jones Julie M, Reich Keith A, Raval Deena G
Department of Internal Medicine, Midwestern University/Chicago College of Osteopathic Medicine, Downers Grove, Illinois, USA.
J Am Osteopath Assoc. 2012 Feb;112(2):90-2.
Hypocomplementemic urticarial vasculitis syndrome (HUVS) is a type III hypersensitivity reaction characterized by urticaria with persistent acquired hypocomplementemia. Although HUVS is uncommon, it is important for physicians to be familiar with this disease, as the initial presentation is often life-threatening angioedema. The author reports the case of a 47-year-old white woman with a history of HUVS. She presented to an outpatient clinic complaining of a rash and difficulty swallowing. Urticaria and angioedema were diagnosed. The patient was given epinephrine in the clinic and then transferred to the hospital. Laboratory testing confirmed urticaria, and the patient was given intravenous methylprednisolone sodium succinate and an additional dose of epinephrine. After 1 week, the patient's angioedema improved.
低补体血症性荨麻疹性血管炎综合征（HUVS）是一种III型超敏反应，其特征为伴有持续性获得性低补体血症的荨麻疹。虽然HUVS并不常见，但医生熟悉这种疾病很重要，因为其初始表现通常是危及生命的血管性水肿。作者报告了一例有HUVS病史的47岁白人女性病例。她因皮疹和吞咽困难到门诊就诊。诊断为荨麻疹和血管性水肿。患者在诊所接受了肾上腺素治疗，然后被转至医院。实验室检查确诊为荨麻疹，患者接受了静脉注射甲泼尼龙琥珀酸钠和额外剂量的肾上腺素。1周后，患者的血管性水肿有所改善。
