A healthy 50 year old man developed diffuse hyperpigmented papules on his trunk . The Darier sign was positive, and a biopsy confirmed the clinical diagnosis of urticaria pigmentosa. Bone films and blood tests were normal. H1 and H2 anti-histamines and topical corticosteroids were prescribed without improvement. The patient refused phototherapy
Description
A healthy 50 year old man developed diffuse hyperpigmented papules on his trunk . The Darier sign was positive, and a biopsy confirmed the clinical diagnosis of urticaria pigmentosa. Bone films and blood tests were normal. H1 and H2 anti-histamines and topical corticosteroids were prescribed without improvement. The patient refused phototherapy.