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Unusual association of diseases/symptoms
Chronic urticaria as a presenting symptom of Crohn’s disease
  1. Pasquale Mansueto1,
  2. Antonio Carroccio2,
  3. Sveva Corsale1,
  4. Gabriele Di Lorenzo1,
  5. Lidia Di Prima1,
  6. Giuseppe Pirrone1,
  7. Ada Maria Florena3,
  8. Gaetana Di Fede4
  1. 1
    Dipartimento di Medicina Clinica e delle Patologie Emergenti, University of Palermo, Italy
  2. 2
    U.O. di Medicina Interna, ‘Ospedali Civili Riuniti’ di Sciacca, Agrigento, e Dipartimento di Medicina Clinica e delle Patologie Emergenti, University of Palermo, Italy
  3. 3
    Istituto di Anatomia Patologica, University of Palermo, Italy
  4. 4
    Dipartimento di Discipline Chirurgiche ed Oncologiche, University of Palermo, Italy
  1. Antonio Carroccio, acarroccio{at}hotmail.com

Summary

Clinical presentation of Crohn’s disease (CD) may be variable according to the location and the intensity of the inflammation. Some patients may have atypical symptoms which could delay the diagnosis. We report the first case of chronic urticaria related to a subclinical, complicated CD. Although the pathologic mechanism of this association was unclear in our patient, this case suggests that in patients with unexplained chronic urticaria it is opportune to investigate for a possible CD, even if there are no or few specific symptoms of intestinal inflammatory disease.

https://doi.org/10.1136/bcr.08.2008.0781

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    Footnotes

    • Competing interests: none.

    • Patient consent: Patient/guardian consent was obtained for publication