Cryptogenic cirrhosis: misunderstood cause of yellow urticaria

Souza, Mariana Boechat de; Russo, Teresa; Delorenze, Lílian Mathias; Castro, G.; Argenziano, Giuseppe; Piccolo, Vincenzo

doi:10.1111/jdv.14407

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The urticarial plaques disappear quickly within hours, but the yellowish color persists longer which can be explained by the high affinity of bilirubin for elastine. 8 Skin biopsy was carried out in several of the previously reported cases but is considered clinically unnecessary if there is a prompt resolution of symptoms 9 as is the case of our patient.…”

Section: Discussionmentioning

confidence: 84%

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Yellow urticaria revealing overlap syndrome of autoimmune hepatitis and primary biliary cholangitis

Toujani

Ouni

Mestiri

et al. 2023

Clinical Case Reports

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Urticaria is a common dermatologic disorder characterized by pruritic wheals, often surrounded by reflex erythema that resolves within 24 h. These skin manifestations may be accompanied by angioedema, or sudden swelling of the underlying dermis, which usually resolves within 72 h. Urticaria can be caused by various agents such as allergy, infection, or physical stress that provoke mast cell degranulation. However, yellow urticaria is an exceptional event that occurs in patients with hyperbilirubinemia due to liver or biliary diseases and most commonly in cirrhosis.

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Section: Discussionmentioning

confidence: 84%

“…Skin biopsy was carried out in several of the previously reported cases but is considered clinically unnecessary if there is a prompt resolution of symptoms 9 as is the case of our patient.…”

Section: Discussionmentioning

confidence: 84%

Yellow urticaria revealing overlap syndrome of autoimmune hepatitis and primary biliary cholangitis

Toujani

Ouni

Mestiri

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

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Two cases of yellow urticaria revealing acute lithiasic biliary disease

et al. 2020

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Walsh et al., who described it as an acanthoma with features of porokeratosis, predominantly in men, on their extremeties. 1 It is clinically described as either solitary or multiple hyperkeratotic plaques (often verrucous) or a nodule with mild pruritus. Absence of a central area of epidermal atrophy is a clinically important feature in distinguishing porokeratoma from porokeratosis. 2 Porokeratoma is characterised by prominent multiple and confluent cornoid lamellae throughout the lesion in histopathological examination, whereas the cornoid lamellae is only located at the periphery in classical porokeratosis. 1 The cause of porokeratoma has not been elucidated in which no family history of porokeratoma has been reported as yet. Although dermal amyloid deposits have been observed in several cases of porokeratosis, this is the first report of it occurring in porokeratoma. The causal link between the porokeratosis and the amyloidosis remains unclear. 3 Possible treatments could include complete excision of the lesion, cryotherapy, laser or oral acitretin. 2 It has been reported that porokeratotic cases can have malignant potential, particularly in chronic large lesions. 2 Regular monitoring and follow-up is therefore recommended.

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