Urticarial vasculitis and dermatomyositis in a patient with nasopharyngeal carcinoma.
Urticarial vasculitis has rarely been described in association with polymyositis. We report the case of a 37-year-old man with dermatomyositis and nasopharyngeal carcinoma who presented initially with urticarial vasculitis. The lesions of urticarial vasculitis were initially photodistributed, indicating photosensitivity. The patient was treated with systemic steroids, chemotherapy (cisplatin and fluorouracil), and radiation therapy. The tumor and urticarial vasculitis completely resolved, and the myositis improved.
Wang
Chia-Chen
CC
Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Chen
Ming-Jing
MJ
Ho
Hsin-Chun
HC
Hong
Hong-Shang
HS
D000328:Adult; D001132:Arm; D003131:Combined Modality Therapy; D003882:Dermatomyositis / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D009333:Neck; D010257:Paraneoplastic Syndromes / Q000150:complications / Q000175:diagnosis*; D014657:Vasculitis / Q000150:complications / Q000175:diagnosis*