RE: HIVES, ON THE SKIN (NO, NOT THE BLOCKCHAIN)
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I was curious about the title of your publication.
Urticaria is sometimes a symptom that goes unnoticed (not that it doesn't itch), but sometimes it is the only symptom to make the differential diagnosis. Once urticaria was what helped us to differentiate cholangitis from viral hepatitis. It could be corroborated thanks to the echosonogram.
Thank you for sharing this valuable information.
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I wanted the curiouity lol.
Very true. It could go one without noticeable raising of the wheals or the angioedema especially in dark skinned people.
Wow.. it's cool to have differentiated those 2, what exactly was the presentation?
In rural outpatient clinics, sometimes you must be guided by clinical symptoms; they do not have laboratories to perform blood tests. This was a patient with diffuse pain in the epigastrium, anything could be, but the urticaria led us to a diagnosis related to intrabiliary tract. When the patient was transferred to a hospital in the city, cholangitis was confirmed by ultrasound. The patient was an adolescent, so hepatitis is the most common, but in this case it was something else. We were blinded with no liver enzyme tests, no imaging tests. The patient was never jaundiced.
Wow.. that true, in the rurals, the index of suspicion needs to be high and the common things have to be questioned often. It's cool you spotted the urticaria and referred appropriately.
Thank you!