Cutaneous Vasculitis

Abstract

Overview Vasculitis is usually a multisystem disorder that presents in a myriad of ways. Diagnosis is based on a detailed history and careful examination. Patients may present to different specialties and their care should be led by a multidisciplinary team involving physicians with a specialist interest in vasculitis. Vasculitis can be classified by aetiology or by calibre of the vessel involved. The accepted nomenclature was defined by an international consensus meeting held in 2012; cutaneous vasculitides are considered under the umbrella of ‘single organ vasculitis’, although the classification has been expanded in this chapter. Ill‐defined entities that do not have an identified pathological basis have not been included. It should be recognized that names and classifications will change in the future with greater understanding of the underlying mechanisms of disease. The treatment of primary vasculitis involves immunosuppression. The balance between disease severity and adverse effects of treatment requires expertise and experience in management of these rare conditions. Secondary vasculitis may be due to infection, drugs, malignancy or inflammatory disease. Treating the underlying condition may resolve the vasculitis.

Successful treatment of refractory livedoid vasculopathy in a patient with systemic lupus erythematosus

“…Red cell extravasation and perivascular lymphocytic infiltrates are expected findings. 8 We reported a women 30 years old with diagnosis Livedoid vasculopathy and systemic lupus erythematous. The diagnosis was based on anamnesis, dermatologic examination, laboratory and histopathological finding.…”

“…7 LV has a 3:1 female predominance with a young-middle age. 7,8 LV can be categorized as primary (idiopathic) or secondary LV, in which a known underlying condition causes the disease. 5 Histopathological finding is thickening or hyaline changes in the walls of superficial dermal vessels and luminal fibrin deposition.…”

“…Differential diagnoses include venous statis ulcers, systemic vasculitis, peripheral arterial disease, pyoderma gangrenosum, and trauma. [5][6][7][8] Venous stasis ulcer is the main differential diagnoses of our case. It located above the medial malleolus similar with LV but the ulcer has irregular border, shallow and covered by yellow fibrinous exudate and lack of the other LV clinical features.…”

Erythema elevatum diutinum: a rare case of atypical presentation involving palms

“…1,2 Hutchinson and Bury first identified the disorder in the 1880s, and Radcliffe Crocker and Williams gave it a name in 1894. 3 Asymptomatic (rarely painful), plumcolored erythematous nodules, and plaques of various sizes are the distinctive skin lesions. They are distributed symmetrically over the extensors of the extremities, particularly over the joints, the dorsal aspect of the hands, feet, and elbows, the buttocks, and the Achilles tendon, as well as the buttocks and face occasionally.…”