Case report, case study

https://doi.org/10.64266/amu.1.2.5

Urticaria - when the obvious hides the unexpected

Luka Maršić ; General Hospital "Dr Josip Benčević", Slavonski Brod, Croatia *
Lea Gvozdanović ; General Hospital Našice, Našice, Croatia

* Corresponding author.

Abstract

Urticaria, or hives, is one of the most common presenting symptoms for which patients seek medical attention. It is often considered as a benign clinical condition that responds well to antihistamines. However, what if an apparently typical rash masks a far more serious underlying issue? A case of 35-year-old female patient who repeatedly visited the emergency department due to acute urticaria that did not respond to standard therapy is described. Further diagnostic evaluation, including ultrasound imaging, revealed active hydatid disease caused by a hepatic echinococcal cyst. This case highlights the importance of a broad differential diagnostic approach when assessing patients with atypical or treatment-resistance urticaria, as in rare cases, it may indicate a serious underlying condition, requiring timely recognition and targeted treatment.

Keywords

cystic echinococcosis; echinococcosis; urticaria; diagnostic ultrasound

Hrčak ID:

335741

URI

https://hrcak.srce.hr/335741

Publication date:

15.9.2025.

Article data in other languages: croatian

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