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R. Dale Liechty, MD; Harlan I. Firminger, MD

JAMA. 1983;250(6):789-790.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A WOMAN with severe progressive urticaria was referred to our immunology service for consultation. After extensive study, the only other abnormality found was primary hyperparathyroidism. Following excision of a parathyroid adenoma, the urticaria disappeared promptly, and she has remained eucalcemic and urticaria free for three years.

Urticaria and other presumed allergic reactions are a well-known, though uncommon, reaction to a variety of tumors.¹ Having searched the literature and questioned colleagues from other institutions, however, we could find no previous reports of a specific association between parathyroid adenoma and urticaria.

Report of a Case

A 58-year-old woman gave a one-year history of increasing, generalized urticaria. Her physician had treated her with prednisone (up to 60 mg/day) and various combinations of antihistamines, with incomplete relief. We could elicit no history of medications, foods, or other agents likely to have induced the urticaria.

Her BP was 120/80 mm Hg, and her heart . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Surgery (Dr Liechty) and Pathology (Dr Firminger), University of Colorado Health Sciences Center, Denver.

Footnotes
Reprint requests to University of Colorado Health Sciences Center, 4200 E Ninth Ave, Denver, CO 80262 (Dr Liechty).

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