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Vibratory urticaria associated with bladder-wall infection with the yeast Torulopsis glabrata

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    Serum histamine levels were increased in all 22 patients with VA investigated (4 patients with HVA5,19 and 18 patients with AVA9,15,16,26). Normal or negative results were reported from studies that performed the following blood tests: complete blood cell count,2,5,6,8,9,13,15,16,20,23 erythrocyte sedimentation rate,2,6,9,15,16 complement factor 3 level,2,8,9,15,20 complement factor 4 level,2,3,5,8,9,15,16,20,21 complement factor 1 esterase inhibitor level,2,3,5,8,16,20,21 serum IgE level,2,5,6,8,9,16 and antinuclear antibodies.9,16,20 Of 6 patients (2 cases with HVA5,19 and 4 cases with AVA2,9,15) who underwent a skin biopsy, 4 patients (1 patient with HVA and 3 patients with AVA) showed evidence of mast cell degranulation at the stimulated sites.9,15,19

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