Urticarial vasculitis – A curious case with overlapping presentation

Urticarial vasculitis is a clinicopathologic entity characterized by recurring wheals along with histopathologic evidence of leukocytoclastic vasculitis. If associated with systemic involvement, it can lead to substantial morbidity. Associated hypocomplementemia and systemic symptoms need thorough evaluation to rule out possibility of connective tissue disorders and autoinflammatory syndromes. We, hereby, present a case of a 19-year-old male who presented to us with recurrent urticarial wheals along with disabling myalgia and joint pain.