Differential Diagnosis > Morphology > Reaction Patterns > Vascular > Urticarial

Urticarial

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•first question:   urticaria vs. “urticarial”
•urticarial stage of BP
•urticarial vasculitis
•urticarial zoster

 

hmtoggle_plus1Top 5 ddx:
•urticaria (rule out drug)
•urticarial bullous pemphigoid
•urticarial vasculitis
•serum sickness
•eosinophilic cellulitis

 

top 5 categories (extensive) ddx for "urticarial":

•urticaria
•hmtoggle_plus1        LCV (immune complexes)
•urticarial vasculitis
•serum sickness
•“serum sickness-like”  (prodrome of hep B)
•hmtoggle_plus1        neutrophils
•Still’s disease
•erythema marginatum
•Sweets syndrome
•hmtoggle_plus1        eosinophils
•urticarial stage of bullous disease
•Eosinophilic cellulitis (Well’s syndrome)
•EPF and bites (papular urticaria)
•hmtoggle_plus1        mast cells
•mastocytoma/ UP
•TMEP

 

 

should be clinically distinct:

•urticarial zoster
•PUPPPS

 

thoughts:

•eosinophils (bites, urticarial BP, EPF, eosinophilic cellulitis)  give you urticarial lesions,
•so do neutrophils/immune complexes (at times) (urticarial vasculitis, Still’s disease/ erythema marginatum, serum sickness).
• Also, most vascular reaction pattern diseases (EM, EPF, Still’s disease/ erythema marginatum, serum sickness). look urticarial at some point (because most of the vascular reaction pattern has eosinophils or neutrophils)