Örnek Sinem, Zuberbier Torsten, Kocatürk Emek
Department of Dermatology, Dıskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Department of Dermatology and Allergy, Charité University School of Medicine, Berlin, Germany.
Clin Dermatol. 2022 Sep-Oct;40(5):480-504. doi: 10.1016/j.clindermatol.2021.12.010. Epub 2022 Jan 1.
Annular urticarial configurations are often associated with acute and chronic urticaria. Such lesions may be short-lived, migratory, transient, pruritic, and resolving with no residual evidence, making the diagnosis of urticaria an obvious one. Annular urticarial lesions can be the presenting signs of various cutaneous and systemic diseases. The differentiation of urticarial lesions may be made by considering the duration of an individual lesion longer than 24 hours, with burning and pain sensation in the lesions or lack of pruritus; skin marks such as postinflammatory pigmentation or purpura after resolution of the lesions; associated scaling or vehiculation in the lesions; systemic symptoms such as arthralgia, fever or fatigue; and several abnormal laboratory findings. The main differential diagnoses of annular urticarial lesions include urticarial vasculitis, autoinflammatory syndromes, hypersensitivity reactions, and connective tissue diseases.
环状荨麻疹形态常与急慢性荨麻疹相关。此类皮损可能短暂、游走、转瞬即逝、瘙痒，消退后不留痕迹，使得荨麻疹的诊断较为明确。环状荨麻疹皮损可能是各种皮肤及系统性疾病的表现体征。对于荨麻疹皮损的鉴别可通过考虑单个皮损持续时间超过24小时、皮损有灼痛和痛感或无瘙痒；皮损消退后有炎症后色素沉着或紫癜等皮肤痕迹；皮损伴有脱屑或水疱；关节痛、发热或疲劳等全身症状；以及多项实验室检查异常结果来进行。环状荨麻疹皮损的主要鉴别诊断包括荨麻疹性血管炎、自身炎症综合征、超敏反应和结缔组织病。
