A 43-year-old woman presented with 6 months of recurrent bilateral eye pain and redness alongside spontaneous urticaria.
She noted episodes of quarter-sized itchy lesions appearing on her abdomen, legs and arms one to two times a month that spontaneously resolved within 24 hours. Bilateral eye pain, redness and itching occurred after onset of rash and subsided with resolution of rash.
The patient’s medical history included gastroesophageal reflux disease, diverticulitis and remote history of chickenpox as a child. She had two deviated septum surgeries in the past. She was a smoker, had