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Cases Journal

, 2:69

First Online: 20 January 2009Received: 27 October 2008Accepted: 20 January 2009DOI: 10.1186-1757-1626-2-69

Cite this article as: Tamhankar, P.M., Suvarna, J. & Deshmukh, C.T. Cases Journal 2009 2: 69. doi:10.1186-1757-1626-2-69


An eleven month old girl presented with chronic urticaria since three months of age. There was a generalised hyperpigmented maculo-papular rash. Darier sign was positive. The skin biopsy showed plenty of spindle shaped mast cells with eosinophilic cytoplasm infiltrating the dermis and the appendiceal structures. The diagnosis of cutaneous mastocytosis urticaria pigmentosa was made. The child received symptomatic relief with chronic oral hydroxyzine and ranitidine therapy. Automated epinephrine self-injectors usually prescribed in this condition for self-management of anaphylactic episodes were not available. Intramuscular administration of 1:1000 diluted adrenaline via a disposable tuberculin syringe was taught to the mother. A medical bracelet containing her diagnosis and instructions in emergency was custom-made for her.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-2-69 contains supplementary material, which is available to authorized users.

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Autor: Parag M Tamhankar - Jyoti Suvarna - Chandrahas T Deshmukh


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