Hugo J Leme, Marcelo Pacheco Silva, Adelina Costin, Ana Isabel Gouveia, João Alves
{"title":"Refractory urticarial dermatitis successfully treated with mycophenolate mofetil.","authors":"Hugo J Leme, Marcelo Pacheco Silva, Adelina Costin, Ana Isabel Gouveia, João Alves","doi":"10.1093/omcr/omag140","DOIUrl":null,"url":null,"abstract":"<p><p>Urticarial dermatitis is an uncommon inflammatory dermatosis characterized by persistent pruritic urticarial and eczematous eruptions associated with a dermal hypersensitivity reaction pattern on histopathology. We report a case of severe refractory urticarial dermatitis resistant to multiple therapies, including corticosteroids, cyclosporine, methotrexate, dapsone and azathioprine, which demonstrated significant clinical improvement following treatment with mycophenolate mofetil. This case highlights the diagnostic challenges of urticarial dermatitis and supports mycophenolate mofetil as a potential therapeutic option in refractory disease.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2026 7","pages":"omag140"},"PeriodicalIF":0.6000,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403552/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oxford Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/omcr/omag140","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/7/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Urticarial dermatitis is an uncommon inflammatory dermatosis characterized by persistent pruritic urticarial and eczematous eruptions associated with a dermal hypersensitivity reaction pattern on histopathology. We report a case of severe refractory urticarial dermatitis resistant to multiple therapies, including corticosteroids, cyclosporine, methotrexate, dapsone and azathioprine, which demonstrated significant clinical improvement following treatment with mycophenolate mofetil. This case highlights the diagnostic challenges of urticarial dermatitis and supports mycophenolate mofetil as a potential therapeutic option in refractory disease.
期刊介绍:
Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.