case_images: PMC10748524_01
case_images: Anterior-shin Urticaria.
case_images: 10.1177_23247096231220480-fig1.jpg
case_images: PMC10748524_01_10.1177_23247096231220480-fig1.jpg
case_images: fig1-23247096231220480
case_images: A 39-year-old female with a past medical history of endometriosis and generalized anxiety disorder initially presented to primary care with a 1-month history of bilateral upper extremity and lower extremity urticaria (Figures 1 and 2).
case_images: Left calf Urticaria.
case_images: 10.1177_23247096231220480-fig2.jpg
case_images: PMC10748524_01_10.1177_23247096231220480-fig2.jpg
case_images: fig2-23247096231220480
case_images: A 39-year-old female with a past medical history of endometriosis and generalized anxiety disorder initially presented to primary care with a 1-month history of bilateral upper extremity and lower extremity urticaria (Figures 1 and 2).
case_images: (A) (40x): Punch biopsy with mild perivascular inflammation. (B) (100x): Perivascular inflammation composed of lymphocytes and eosinophils. (C) (200x): Perivascular inflammation composed of lymphocytes and eosinophils.
case_images: 10.1177_23247096231220480-fig3.jpg
case_images: PMC10748524_01_10.1177_23247096231220480-fig3.jpg
case_images: fig3-23247096231220480
case_images: Biopsy revealed neutrophils and perivascular lymphocytic infiltrates consistent with urticaria without vasculitis (Figure 3).
case_images: X-rays of bilateral knees.
case_images: 10.1177_23247096231220480-fig4.jpg
case_images: PMC10748524_01_10.1177_23247096231220480-fig4.jpg
case_images: fig4-23247096231220480
case_images: X-rays of the hands, knees (Figure 4), shins, and bilateral hips showed no erosions, effusion, nor other findings concerning for an inflammatory process.