Urticarial vasculitis as an initial manifestation of colonic carcinoma: a case report and review of the literature

Younis, Ali

doi:10.4081/reumatismo.2018.1052

Cited by 10 publications

(2 citation statements)

References 16 publications

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“…2 Withdrawal of relevant drugs, antiviral treatment of chronic hepatitis C, surgical therapy, or chemotherapy and/or radiation therapy of malignant neoplasms are usually associated with improvement or cure of UV. 2,27 The severity of UV and the occurrence of relapses determine the treatment approach. Most respondents prefer second generation antihistamines and/or corticosteroids as the first-line therapy of UV.…”

Section: Physicians From Northmentioning

confidence: 99%

Management of urticarial vasculitis: A worldwide physician perspective

Kolkhir

Bonnekoh

Kocatürk

et al. 2020

World Allergy Organization Journal

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Background: Urticarial vasculitis (UV) is a rare type of leukocytoclastic vasculitis characterized by long lasting urticarial skin lesions and poor response to treatment. As of yet, no clinical guidelines, diagnostic criteria, or treatment algorithms exist, and the approaches to the diagnostic workup and treatment of UV patients may differ globally. We conducted an online survey to examine how UV patients are diagnosed and treated by international specialists and to reveal the greatest challenges in managing UV patients worldwide.Methods: Distribution of the questionnaire included an email to individuals in the World Allergy Organization (WAO) database, with no restrictions applied to the specialty, affiliation, or nationality of the participants (November 2018). The email contained a link (Internet address) to the online questionnaire. Responses were anonymous. The link to the questionnaire was further sent to the network of Urticaria Centers of Reference and Excellence (UCARE) in the Global Allergy and Asthma European Network (GA 2 LEN) as well as to the Turkish Dermatology Society and the Japanese Society of Allergology, who distributed the link to their members. In addition, the survey link was posted online in the group of the Russian Society of Allergologists and Immunologists. Results:We received 883 completed surveys from physicians in 92 countries. UV was reported to be rare in clinical practice, with an average of 5 patients per physician per year. More than twothirds of physicians reported wheals, burning of the skin, and residual hyperpigmentation in 60-100% of UV patients. The most frequently reported reason for receiving referrals of patients with UV was to establish the diagnosis. The most important features for establishing the diagnosis of UV were wheals of longer than 24 hours duration (72%), the results of skin biopsy (63%), and postinflammatory hyperpigmentation (46%). The most common tests ordered in UV patients were complete blood count, erythrocyte sedimentation rate, C-reactive protein, complement components, antinuclear antibodies, and skin biopsy. Physicians considered UV to be of unknown cause in most patients, and drugs and systemic lupus erythematosus to be the most common identifiable causes. Two of 3 physicians reported that they use second-generation antihistamines in standard dose as the first-line therapy in patients with UV. The greatest perceived challenges in the management of UV were the limited efficacy of drugs and the absence of clinical guidelines and treatment algorithms.

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Section: Physicians From Northmentioning

confidence: 99%

Management of urticarial vasculitis: A worldwide physician perspective

Kolkhir

Bonnekoh

Kocatürk

et al. 2020

World Allergy Organization Journal

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“…Внекожные проявления ПЛКВ наблюдаются у 30 % пациентов и ограничены неспецифическими конституциональными симптомами (лихорадка, недомогание, немотивированная потеря массы тела, миалгии, артралгии). Вовлечение внутренних органов не характерно и требует проведения дальнейшего дифференциального диагностического поиска с различными патологическими процессами, в том числе с системными васкулитами [7,8].…”

Section: Introductionunclassified

A case of polymorphic leukocytoclastic vasculitis associated with renal neoplasia

Клименко

Гаффарова

et al. 2023

Klinicist

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Objective: to describe a clinical case of polymorphic leukocytoclastic vasculitis (PLCV) associated with renal neoplasia.Materials and methods. Patient K., a man, 67 y. o., was admitted to the surgical department No. 2 of the N. I. Pirogov State Clinical Hospital No. 1 with cardiac complaints and heart failure decompensation symptoms, severe respiratory insufficiency associated right lower lobe pneumonia. Besides cardiac function evaluation and pneumonia managing there was a conducting of differential diagnostic search to clarify the genesis of ulcerative necrotic rashs among systemic vasculitis, paraneoplastic syndrome including hematologic problems and sepsis.Results. It was no data for systemic connective tissue diseases and systemic vasculitis during clinical examination and immunological diagnostics. On contrast-enhanced multispiral computed tomography of abdomen and retroperitoneal space there was latent malignant neoplasia of left kidney Т2аN1M0. PLCV was considered to paraneoplastic syndrome associated with malignancy. Due to the progression of vasculitis and the patient’s refusal of surgical treatment was prescribed GC 0.5 mg / kg / day as a result positive dynamics was noted.Conclusion. This clinical case demonstrates necessity of providing examination aimed at malignancy excluding for early neoplasm’s detecting for patients with vasculitis.

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