Yellow urticaria in a patient with decompensated alcoholic cirrhosis triggered by intravenous albumin infusion: A case report

doi:10.5314/wjd.121729

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 12, Issue 1

This Article

(2)

(0)

(19)

Peer-Review Report of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Journal Information of This Article

Publication Name

World Journal of Dermatology

ISSN

2218-6190

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Dermatol. Sep 16, 2026; 12(1): 121729
Published online Sep 16, 2026. doi: 10.5314/wjd.121729

Yellow urticaria in a patient with decompensated alcoholic cirrhosis triggered by intravenous albumin infusion: A case report

Nour Ghostine, Luna Maria Khalil, Karen Beydoun, Ahmad Berjawi

Nour Ghostine, Luna Maria Khalil, Karen Beydoun, Ahmad Berjawi, Department of Dermatology, Clémenceau Medical Center, Beirut 1100, Beyrouth, Lebanon

Author contributions: Ghostine N and Berjawi A contributed to concept, clinical data collection, and manuscript drafting. Beydoun K and Khalil LM contributed to literature review, critical revision; Berjawi A contributed to supervision, final approval; and all authors have read and approved the final manuscript.

Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.

Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Ahmad Berjawi, MD Department of Dermatology, Clémenceau Medical Center, Beirut 1100, Beyrouth, Lebanon. ahmadberjawi@proton.me

Received: April 1, 2026
Revised: April 27, 2026
Accepted: May 9, 2026
Published online: September 16, 2026
Processing time: 168 Days and 12.8 Hours

Core Tip

Core Tip: Yellow urticaria (YU) is a rare urticarial subtype in which wheals appear yellow due to bilirubin deposition in the dermis during mast-cell degranulation, occurring exclusively in the context of hyperbilirubinemia. We report Lebanon’s first documented case: A 70-year-old male with decompensated alcoholic cirrhosis (Child-Pugh Class C) and predominantly direct hyperbilirubinemia who developed YU following an anaphylactoid reaction to intravenous albumin infusion. Lesions resolved within 24 hours despite persistent hyperbilirubinemia, confirming that urticaria and bilirubin elevation are independent co-existing conditions.