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Urticaria in the Small Bowel


Urticaria in the duodenum
This patient came to endoscopy, because of a suspicion of celiac disease, which she had. In addition to that, there were these white areas in the descending duodeum.


Urticaria in the duodenum
At time of the examination, the patient had an acute urticaria in the skin, as she had had many times before. Histologic examination of these lesions showed superficial necrosis. We think, that these lesions are urticaria in the bowel mucosa.


Urticaria in the duodenum
In a repeated examinations after some months, there were no lesions of this kind (this picture, as the other ones are from the initial examination).
Has anybody else seen any lesions like this in a patient with acute urticaria?
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