Um Caso de Urticária Multiforme em Criança

Isabele Oliveira Santos; Rafaela Carvalho Abrahão; Talita Caldas Oliveira; Paula Figueiredo Marsillac; Daniel Lago Obadia; Alexandre Carlos Gripp

doi:10.29021/spdv.78.4.1228

Isabele Oliveira Santos Médica residente https://orcid.org/0000-0002-2263-3736
Rafaela Carvalho Abrahão Especializando em Dermatologia do Hospital Universitário Pedro Ernesto (HUPE/UERJ) - Rio de Janeiro, Brasil https://orcid.org/0000-0001-9331-7442
Talita Caldas Oliveira Especializando em Dermatologia do Hospital Universitário Pedro Ernesto (HUPE/UERJ) - Rio de Janeiro, Brasil https://orcid.org/0000-0002-8655-1529
Paula Figueiredo Marsillac Especializando em Dermatologia do Hospital Universitário Pedro Ernesto (HUPE/UERJ) - Rio de Janeiro, Brasil https://orcid.org/0000-0002-0081-654X
Daniel Lago Obadia Professor de Dermatologia do Hospital Universitário Pedro Ernesto (HUPE/UERJ) – Rio de Janeiro, Brasil https://orcid.org/0000-0001-9536-1615
Alexandre Carlos Gripp Mestre em Dermatologia - Chefe da Enfermaria de Dermatologia e do Ambulatório de Imunobiológicos do Hospital Universitário Pedro Ernesto (HUPE/UERJ) - Rio de Janeiro, Brasil https://orcid.org/0000-0003-2217-6704

DOI: https://doi.org/10.29021/spdv.78.4.1228

Keywords: Child, Erythema Multiforme, Urticaria, Urticarial Vasculitis

Abstract

Urticaria multiforme is an acute hypersensitivity reaction which can be considered a morphological subtype of urticaria. It is more common in children and as its clinical presentation resembles other pathologies such as erythema multiforme, urticarial vasculitis and serum-sickness-like reaction, it has been often underdiagnosed. We report a case of a 1-year and 9-month-old child with exuberant skin lesions associated with systemic manifestations with complete and quick recovery after H1-antihistamines and iv steroids in an intensive care unit.

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Shah KN, Honig PJ, Yan AC. “Urticaria multiforme”: A case series and review of acute annular urticarial hypersensitivity syndromes in children. Pediatrics. 2007;119:e1177-83. doi: 10.1542/peds.2006-1553.

Tamayo-Sanchez L, Ruiz-Maldonado R, Laterza A. Acute annular urticaria in infants and children. Pediatr Dermatol. 1997;14:231-4.

Starnes L, Patel T, Skinner RB. Urticaria multiforme-a case report. Pediatr Dermatol. 2011;28:436-8.

Samorano LP, Fernandez VV, Valente NS, Arnone M, Nico MS, Rivitti-Machado MC, et al. Urticaria multiforme: Two cases with histopathological findings. Allergol Int. 2017;66:154-5.

Luce MC, Souza BC, Camargo MC, Valente NS. Urticária multiforme : relato de caso em lactente. An Brasil Dermatol. 2019;94:628-30.

Sackesen C, Sekerel BE, Orhan F, Kocabas CN, Tuncer A, Adalioglu G. The etiology of different forms of urticarta in childhood. Pediatr Dermatol. 2004;21:102-8.

Yon A, Michie C. Acute annular urticaria in a child. West Lond Med J. 2013;5:1-5.

Sempau L, Martín-Sáez E, Gutiérrez-Rodríguez C, Gutiérrez-Ortega MC. Urticaria multiforme: A report of 5 cases and a review of the literature. Actas Dermosifiliogr. 2016;107:e1-5. doi: 10.1016/j.ad.2015.01.003.

Ercan N. Corticosteroid use in urticaria multiforme cases. Allergol Int. 2017;66:488-9. doi: 10.1016/j.alit.2016.11.008.

Gavin M, Sharp L, Stetson CL. Urticaria multiforme in a 2-year-old girl. Baylor Univ Med Cent Proc. 2019;32:427-8. doi: 10.1080/08998280.2019.1608627.

Mathur AN, Mathes EF. Urticaria mimickers in children. Dermatol Ther. 2013;26:467-75. doi: 10.1111/dth.12103.

Pinto AP, Aguiar C, Dinis MJ, Ramos S. Edema agudo hemorrágico do lactente - a (re) conhecer. Rev Pediatr do Cent Hosp do Porto. 2016;25:251-4.

Venzor J, Lee WL, Huston DP. Urticarial vasculitis. Clin Rev Allergy Immunol. 2002;23:201-16. doi: 10.1385/CRIAI:23:2:201.

Imbernón-Moya A, Vargas-Laguna E, Burgos F, Fernández-Cogolludo E, Aguilar-Martínez A, Gallego-Valdés MÁ. Urticaria vasculitis in a child: a case report and literature review. Clin Case Reports. 2017;5:1255-7. doi: 10.1002/ccr3.1027.

Urticaria Multiforme in a Child: A Case Report

Abstract

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