*For medical professionals for reference
Look at the diagnosis of the picture.
Case Introduction
A 42 -year -old man, who has a pimples due to syncope and pimples.
The patient had two miracles after arguing with relatives in the past and accompanied by severe itching, saliva, and blurred vision.Further inquiries learned that after the patient exposed to various stimuli (including sunlight, hot meals, unpleasant odors, emotions, and movements), and similar syncope attacks, pimples have occurred (Figure 1), itching and burningEssenceAfter fainting, the skin loss disappeared.There is no similar history of the family, and there is no other allergic history in the family history.
Figure 1: The hyper-sensitive response on the patient is black arrow (quoted from reference)
Specialist examination: Red oval pimples appear in front of the chest and abdomen.
Other inspections: Ige significantly increased to 1800IU/L (normal range 1.31 ~ 165.5IU/L).Cardiac characteristics such as ECG, two -dimensional ultrasound, load test, and dynamic ECG monitoring are all within the normal range.None of the nervous system examinations including brain MRI, EEG, and biochemical analysis are not abnormal.
Strong exercise and passive warmth induction of allergic reactions to inspire tests.The front chest wall skin biopsy (Figure 2) shows thinning and atrophy of the endometrium (Figure A and Figure B).The tissue pathology shows that deep tissue has increased collagen, the attachment structure is lost, and the leather surface layer is scattered in chronic lymphocyte inflammatory inflammation (Figure 2, Figure C).
Figure 2: Group A and group B: Ter pathological images of front chest wall skin biopsy display the endometrium epithelium thin and atrophic.Group C: Deep tissue pathological manifestations are increasing collagen, lost attachment structure, and shallow dermis scattered in chronic lymphocyte inflammatory inflammation (quoted from reference)
q:
P ID = "35cqh23C"> What is the most likely diagnosis?A:
a."> B.Sweet syndrome
c. Hypertrophic cell activation syndrome
d.
This answer
References:
[1] TOSHNIWAL S, Kinkar J, Kumar S, ACharya S, Tikas M, Sahai I, Ghosh B, Naseri S.Case Report: HIVES and FAINTS Res.2024 jul 9;12: 1193.DOI: 10.12688/F1000Research.141339.2.PMID: 39036346; PMCID: PMC11258541.
This article Source: Medical Channel
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