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
Stills disease
erythema marginatum
Sweets syndrome
hmtoggle_plus1        eosinophils
urticarial stage of bullous disease
Eosinophilic cellulitis (Wells 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)