%0 Case Reports
%T Chronic spontaneous urticaria preceded by localized insulin reactions: case report.
%A Momin ZK
%A Chambliss JM
%J SAGE Open Med Case Rep
%V 12
%N 0
%D 2024
%M 38655126
暂无%R 10.1177/2050313X241248383
%X Chronic spontaneous urticaria presents with wheals and/or angioedema for >6 weeks without any specific triggers. The incidence of chronic spontaneous urticaria is increased in patients with comorbid autoimmune conditions. Here, we present a case of chronic spontaneous urticaria in a 9-year-old with type 1 diabetes and autoimmune thyroid disease who first presented with insulin pump site reactions concerning an insulin-related allergy. The patient was successfully treated with antihistamines and later immunosuppression with resumption of insulin pump therapy and remission of chronic spontaneous urticaria symptoms 18 months after onset.