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Urticaria and Polymyositis

Jeffrey P. Callen, MD; Howard V. Dubin, MD
[+] Author Affiliations

Accepted for publication June 7, 1978.

Reprint requests to the Department of Dermatology, University of Louisville, 323 E Chestnut St, Louisville, KY 40202 (Dr Callen).


From the Departments of Dermatology, University of Louisville (Dr Callen) and University of Michigan, Ann Arbor (Dr Dubin).


Arch Dermatol. 1978;114(10):1545-1546. doi:10.1001/archderm.1978.01640220088025
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Urticaria is rarely a manifestation of internal disorders.1,2 It has been reported in association with dermatomyositis once previously.3 However, Braverman thought that the incidence of urticaria is not greater in cases of dermatomyositis or polymyositis than is to be expected in the general population.1 We report a case of polymyositis that occurred with urticarial vasculitis with each exacerbation.

Report of a Case  A 29-year old woman was first admitted to the University of Michigan Medical Center in 1971 for evaluation of urticaria and migratory muscular aching. She had an 11-year history of insulin-dependent diabetes mellitus. Two months prior to admission she began experiencing transient hives, which lasted four to eight hours. She reported that a slight bluish discoloration followed the disappearance of the lesion. The lesions occurred more frequently on the legs. After the onset of the urticaria, she began to note progressive muscle aching and to

REFERENCES

Braverman IM:  Urticaria as a sign of internal disease . Postgrad Med 41:450-454, 1967;.
Monroe EW, Jones HE:  Urticaria: An updated review . Arch Dermatol 113:80-90, 1977;.
Gacin R, Lapresle J, Gruner J, et al:  Les polymyositis . Rev Neurol 92:465-510, 1955;.
Soter NA:  Chronic urticaria as a manifestation of necrotizing venulitis . N Engl J Med 296:1440-1442, 1977;.
Callen JP, Chand JJ, Voorhees JJ:  Cutaneous angiitis (vasculitis) . Int J Dermatol 17:105, 1978;.
Bohan A, Peter JB:  Polymyositis and dermatomyositis . N Engl J Med 292:344-347, 403-407, 1975;.
Whitaker JN, Engle WK:  Vascular deposits of immunoglobulin and complement in idiopathic inflammatory myopathy . N Engl J Med 286:333-338, 1972;.
Dawkins RL, Masfaglia FL:  Cell-mediated cytotoxicity to muscle in polymyositis: Effect of immunosuppression . N Engl J Med 288:434-438, 1973;.

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Braverman IM:  Urticaria as a sign of internal disease . Postgrad Med 41:450-454, 1967;.
Monroe EW, Jones HE:  Urticaria: An updated review . Arch Dermatol 113:80-90, 1977;.
Gacin R, Lapresle J, Gruner J, et al:  Les polymyositis . Rev Neurol 92:465-510, 1955;.
Soter NA:  Chronic urticaria as a manifestation of necrotizing venulitis . N Engl J Med 296:1440-1442, 1977;.
Callen JP, Chand JJ, Voorhees JJ:  Cutaneous angiitis (vasculitis) . Int J Dermatol 17:105, 1978;.
Bohan A, Peter JB:  Polymyositis and dermatomyositis . N Engl J Med 292:344-347, 403-407, 1975;.
Whitaker JN, Engle WK:  Vascular deposits of immunoglobulin and complement in idiopathic inflammatory myopathy . N Engl J Med 286:333-338, 1972;.
Dawkins RL, Masfaglia FL:  Cell-mediated cytotoxicity to muscle in polymyositis: Effect of immunosuppression . N Engl J Med 288:434-438, 1973;.

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