{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:50Z","timestamp":1756425830275,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,12,6]]},"abstract":"<jats:p>A 75-year-old man with ulcerative colitis (UC) and diet controlled diabetes mellitus presented with a 3-week history of slightly itchy, red plaques on both lower limbs ascending gradually to cover the trunk and arms. One week later, he developed a flare up of his UC. Routine blood tests showed modest drop in haemoglobin (122\u2005g\/L) and C reactive protein (85\u2005mg\/L). Serology was remarkable for high antiproteinase 3 (c-ANCA). Serum electrophoresis showed a mildly positive paraprotein band (\u03b3 region). Stool culture was negative. Urine analysis showed proteinuria. Skin biopsy showed features of urticarial vasculitis (UV). He underwent a flexible sigmoidoscopy after the flare up showed mildly active UC. The patient was given hydrocortisone for 7\u2005days and then prednisolone. Both rash and UC subsided. Electrophoresis was repeated 4\u2005weeks later showing normal pattern. Prednisolone has been gradually reduced. Although rare, UV can be considered as one of the skin manifestations of UC.<\/jats:p>","DOI":"10.1136\/bcr-2014-207141","type":"journal-article","created":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T09:18:18Z","timestamp":1419239898000},"page":"bcr2014207141","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Florid urticarial vasculitis heralding a flare up of ulcerative colitis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Evon","family":"Boules","sequence":"first","affiliation":[{"name":"York Hospital, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calum","family":"Lyon","sequence":"additional","affiliation":[{"name":"Department of Dermatology, York Hospital, York, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,12,22]]},"reference":[{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.1","first-page":"768","article-title":"Ulcerative colitis: analyses of 116 cases (do extraintestinal manifestations effect the time to catch remission?)","volume":"51","author":"Ozdil","year":"2004","journal-title":"Hepatogastroenterology"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026629528233"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1992.tb00183.x"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.04.027"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.5","doi-asserted-by":"publisher","DOI":"10.1080\/00015550410024580"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.6","first-page":"1","article-title":"When your patients are itching to see you: not all hives are urticaria","volume":"26","author":"Weldon","year":"2005","journal-title":"Allergy Asthma Proc"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.7","doi-asserted-by":"publisher","DOI":"10.1385\/CRIAI:23:2:201"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.8","first-page":"95","article-title":"Urticarial vasculitis; etiologies and clinical course","volume":"27","author":"Kulthanan","year":"2009","journal-title":"Asian Pac J Allergy Immunol"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.9","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.054627"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.10","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e3182288400"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.11","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.8.785"},{"key":"2025082803175473000_2014.dec22_1.bcr2014207141.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1984.tb00869.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:18:03Z","timestamp":1756376283000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,22]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-207141"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207141","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,12,22]]}}}