SEVERE AND RECALCITRANT CHRONIC URTICARIA RESOLVED AFTER FILLER REMOVAL.

  • Associate professor, dermatology department, King Saud University.
  • Medical intern, king Saud University.
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Chronic idiopathicurticaria is a common skin disease without a clear etiology in the vast majority of cases. The main therapeutic options are directed towards histamine receptors. When antihistamines failed, other therapeutic options maybe added such as systemic steroids, mast cell stabilizer and more recently Omalizumab. Herein we report a rare case of severe and recalcitrant urticaria that was resistant to many treatments modalities including the above-mentioned drugs. Extensive patient history led to two possible triggers, which are lip fillers and tooth filling. Removal of bothfillings cured her disease completely.Dermatologists should be aware of any new procedures and materials administered to patients prior to development of urticaria.

  1. Kaplan AP. Chronic urticaria: pathogenesis and treatment. J Allergy ClinImmunol 2004; 114:465.
  2. Sheikh J. Autoantibodies to the high-affinity IgE receptor in chronic urticaria: how important are they? CurrOpin Allergy ClinImmunol 2005; 5:403.
  3. Kulthanan K, Jiamton S, Thumpimukvatana N, Pinkaew S. Chronic idiopathic urticaria: prevalence and clinical course. J Dermatol 2007; 34:294.
  4. Vonakis BM, Saini SS. New concepts in chronic urticaria. CurrOpinImmunol 2008; 20:709.
  5. SarbjitSaini(2015). Chronic urticaria: Clinical manifestations, diagnosis, pathogenesis, and natural history. In Bruce S Bochner, Jeffrey Callen (Ed.),uptodate.
  6. Liutu M, Kalimo K, Uksila J, Kalimo H. Etiologic aspects of chronic urticaria. Int J Dermatol 1998; 37:515.
  7. Wedi B, Raap U, Kapp A. Chronic urticaria and infections. CurrOpin Allergy ClinImmunol 2004; 4:387
  8. Daoud MS, Gibson LE, Daoud S, el-Azhary RA. Chronic hepatitis C and skin diseases: a review. Mayo ClinProc 1995; 70:559.
  9. CarbonellA e. Urticaria-angioedema due to carboxymethylcellulose eye drops. - PubMed - NCBI. Ncbinlmnihgov. 2016. Available at: https://www.ncbi.nlm.nih.gov/pubmed/22812199. Accessed November 28, 2016.
  10. Kal B, Evcin O, Dundar N, Tezel H, Unal I. An unusual case of immediate hypersensitivity reaction associated with an amalgam restoration. BDJ. 2008;205(10):547-550. doi:10.1038/sj.bdj.2008.981.
  11. Leonhardt J, Lawrence N, Narins R. Angioedema Acute Hypersensitivity Reaction to Injectable Hyaluronic Acid. Dermatologic Surgery. 2006;31(5):577-579. doi:10.1111/j.1524-4725.2005.31166.
  12. Dougherty A, Rashid R, Bangert C. Angioedema-type swelling and herpes simplex virus reactivation following hyaluronic acid injection for lip augmentation. Journal of the American Academy of Dermatology. 2011;65(1):e21-e22. doi:10.1016/j.jaad.2010.11.043.
  13. Alijotas-Reig J. Recurrent Urticarial Vasculitis Related to Nonanimal Hyaluronic Acid Skin Filler Injection. Dermatologic Surgery. 2009;35(Sup 1):395-398. doi:10.1111/j.1524-4725.2008.01049.x.
  14. Andre PFléchet M. Angioedema after ovine hyaluronidase injection for treating hyaluronic acid overcorrection. Journal of Cosmetic Dermatology. 2008;7(2):136-138. doi:10.1111/j.1473-2165.2008.00377.x.

[Abdulmajeed M Alajlan, Amjad F Alshehri and Sami Al Suwaidan . (2017); SEVERE AND RECALCITRANT CHRONIC URTICARIA RESOLVED AFTER FILLER REMOVAL. Int. J. of Adv. Res. 5 (Jan). 1524-1526] (ISSN 2320-5407). www.journalijar.com

Amjad Alshehri
King Saud University , Riyadh

DOI:

Article DOI: 10.21474/IJAR01/2916      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2916

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