Case Report

Angioimmunoblastic T Cell Lymphoma Mimicking Chronic Urticaria

Table 1

Typical features of chronic spontaneous urticaria versus features in our patient.

FeaturesChronic spontaneous urticariaOur patient

Clinical appearanceSudden onset of wheals, angioedema, or bothSudden onset of angioedema and wheals

Duration of symptomsRecurrent episodes for >6 weeksRecurrent episodes for almost 2 years
Wheals resolve within 24 hours Angioedema resolves within 72 hoursEpisodes of angioedema and wheals lasting more than one week

TriggersNot identifiable Not identifiable

Presence of lymphadenopathyNoYes

Response to treatmentMost cases respond to H1 antihistaminesInitially responded to H1 antihistamines and steroids, in time became refractory to therapy