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Cutaneous small-vessel vasculitis

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level. Small vessel cutaneous vasculitis is a diagnosis of exclusion and requires ruling out systemic causes of the skin findings. Skin biopsy (punch or excisional) is the most definitive diagnostic test and should be performed with 48 hours of appearance of the vasculitis. A skin biopsy will be able
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The diagnostic testing for vasculitis should be guided by the patient's history and physical exam. The clinician should ask about the duration, onset, and presence any associated symptoms such as weight loss or fatigue (that would indicate a systemic cause). It is important to distinguish between IgA
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Micrograph of cutaneous small-vessel vasculitis. The section shows all features of leucocytoclastic vasculitis. A mixed inflammatory cell population surrounding the postcapillary venules of the superficial dermis. The infiltrate consists of neutrophils with nuclear dust (dashed arrows) and shows high
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Considering the wide range of potential causes leading to cutaneous small vessel vasculitis, there are subtle variations in the underlying pathophysiology for each cause. For example, medications are metabolized to smaller molecules that can attach to proteins in the blood or vessel walls. The immune
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to the vessels. Once activated, neutrophils then release preformed substances, including enzymes causing damage to vessel tissue. Evidence of this process can be seen with a sample of removed skin tissue, or biopsy, viewed under a microscope. Neutrophils are seen surrounding blood vessels and their
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Cutaneous vasculitis can have various causes including but not limited to medications, bacterial and viral infections or allergens. It is estimated that 45–55% of cases are idiopathic, meaning the cause is unknown. In cases where a cause can be determined, medications and infectious pathogens are
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Treatment should be directed towards the specific underlying cause of the vasculitis. If no underlying cause is found and the vasculitis is truly limited to the skin then treatment is primarily supportive. Such treatment involves measures such as leg elevation, stockings, and topical steroids to
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Once fully developed, the classic appearance is "non-blanching, palpable purpura". This appears as deep red to purple spots that feel raised to the touch. Purpura refers to the red-purple discolored spots, while palpable implies that these spots can be felt as raised from the surrounding skin.
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and non-IgA vasculitis. IgA vasculitis is more likely to present with abdominal pain, bloody urine, and joint pain. In the case that the cause is not obvious, a reasonable initial workup would include a complete blood count, urinalysis, basic metabolic panel, fecal occult blood testing,
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Frequently reported symptoms include mild fever, muscle pain, joint pain, or an overall feeling of discomfort. Additional symptoms depend on the cause of the vasculitis and if other organ systems are involved. For example, if the vasculitis is a manifestation of
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The small vessels in the skin affected are located in the superficial dermis and include arterioles (small arteries carrying blood to capillaries), capillaries, and venules (small veins receiving blood from capillaries). In general,
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system senses these altered proteins as foreign and produces antibodies in efforts to eliminate them from the body. A similar process occurs with infectious agents, such as bacteria, in which antibodies target microbial components.
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The location of skin lesions varies but are most commonly found symmetrically below the waist, primarily on the buttocks and legs. Other distributions include localized areas on the upper body or over several areas of the body.
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Additionally, when gently pressed, the color does not fade to a lighter color ("non-blanching"). The red-purple color of the lesions is due to the inflammation in the blood vessels causing red blood cells to escape into the
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most common in adults, while IgA vasculitis (Henoch–Schönlein purpura) frequently affects children. Other etiologies include autoimmune conditions and malignancies, usually hematologic (related to the blood).
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With treatment, the lesions typically resolve in weeks to months and leave behind flat spots that are darker than the surrounding skin (see "Postinflammatory hyperpigmentation" on "
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are often used for this purpose. If rapid control of symptoms is needed, a short course of high-dose oral steroids may be given. Immunosuppressive agents such as
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affinity for the vessels. Features of vascular injury are shown including fibrinoid necrosis (asterisks) and erythrocyte extravasation (solid arrows).
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A portion of cases may be persistent or recurrent. This tends to occur when the vasculitis is associated with chronic conditions such as
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relieve itching/burning. If the vasculitis does not self-resolve within 3–4 weeks, more aggressive treatment may be warranted. Oral
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Callen, Jeffrey P.; Jorizzo, Joseph L.; Zone, John J.; Piette, Warren; Rosenbach, Misha A.; Vleugels, Ruth Ann (2016-03-08).
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Small Vessel Vasculitis of the Skin, Rheumatic Disease Clinics of North America, 2015-02-01, Volume 41, Issue 1, Pages 21-32
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Initially red to pink, flat spots (formally, "macules") and raised bumps (formally, "papules") may be seen on the skin.
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Giang, Jenny; Seelen, Marc A. J.; van Doorn, Martijn B. A.; Rissmann, Robert; Prens, Errol P.; Damman, Jeffrey (2018).
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Small fluid-filled blisters (or "vesicles"), pus-filled bumps resembling a pimple (or "pustules"), or shallow
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Lotti T, Ghersetich I, Comacchi C, Jorizzo JL (November 1998). "Cutaneous small-vessel vasculitis".
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to determine if the clinical findings are truly due to a vasculitis or due to some other cause.
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In most cases skin lesions do not cause symptoms, however itching, burning, or pain may occur.
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Bolognia, Jean L.; Schaffer, Julie V.; Duncan, Karynne O.; Ko, Christine J. (2014-02-26).
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may be used in truly refractory cases not responsive to colchicine or dapsone.
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Upadhyay, AnimeshA; Kaushik, ShivaniB; Routt, Ethan; Phelps, Robert (2019).
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seen in clinical practice, usually caused by inflammation of post-capillary
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J. C. Jennette; R. J. Falk; P. A. Bacon; et al. (January 2013).
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Cutaneous vasculitis and other vascular-related cutaneous conditions
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Basic immunology : functions and disorders of the immune system
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Harrison's Principles of Internal Medicine. 18th edition. Page 2798.
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Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007).
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Inflammation of small blood vessels, accompanied by skin bumps
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James, William D.; Berger, Timothy G.; et al. (2006).
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Antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs)
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Andrews' diseases of the skin : clinical dermatology
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deposit in vessel walls leading to activation of the
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Kumar, Vinay; Abbas, Abul K.; Aster, Jon C. (2014).
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Andrews' Diseases of the Skin: clinical Dermatology
62: 40: 35: 2560:Transfusion-associated graft-versus-host disease 44:Hypersensitivity vasculitis, allergic vasculitis 931:Robbins and Cotran pathologic basis of disease 2074: 1962:Eosinophilic granulomatosis with polyangiitis 1849: 1366: 1113:Emergency medicine : clinical essentials 354:Subtypes of small-vessel vasculitis include: 8: 2578: 2480: 2385: 2281: 2260: 2120: 2081: 2067: 2059: 1928: 1856: 1842: 1834: 1373: 1359: 1351: 1291: 1274:: CS1 maint: location missing publisher ( 961:: CS1 maint: location missing publisher ( 911:: CS1 maint: location missing publisher ( 751:: CS1 maint: location missing publisher ( 685:: CS1 maint: location missing publisher ( 222: 49: 32: 1210: 1011: 993: 801: 783: 521: 519: 721:Dermatological signs of systemic disease 2594:Allergic bronchopulmonary aspergillosis 1531:Purpura secondary to clotting disorders 515: 453: 141:"Leukocytoclastic" (literally meaning ' 1267: 1136: 1062: 954: 904: 854: 744: 678: 177:may also develop but are less common. 58:Example of hypersensitivity vasculitis 2685:Vascular-related cutaneous conditions 2416:Post-streptococcal glomerulonephritis 1695:Hereditary hemorrhagic telangiectasia 1556:Waldenström hyperglobulinemic purpura 1098: 1096: 1094: 1092: 1090: 1088: 1086: 1084: 1082: 1080: 1033: 1031: 924: 922: 648: 646: 644: 105:cutaneous leukocytoclastic vasculitis 7: 2680:Systemic connective tissue disorders 1690:Generalized essential telangiectasia 874: 872: 825: 823: 821: 714: 712: 710: 708: 706: 704: 702: 700: 698: 696: 642: 640: 638: 636: 634: 632: 630: 628: 626: 624: 311:debris within vessel walls, causing 113:cutaneous leukocytoclastic angiitis 2008:Acute hemorrhagic edema of infancy 402:Platelet dysfunction or deficiency 367:Acute hemorrhagic edema of infancy 25: 2633:Autoimmune polyendocrine syndrome 2023:Cutaneous small-vessel vasculitis 1987:Cutaneous small-vessel vasculitis 1758:Template:Lymphatic vessel disease 1462:Perinatal gangrene of the buttock 772:Indian Dermatology Online Journal 224:Most Common Etiologies in Adults 99:. The condition is also known as 81:Cutaneous small-vessel vasculitis 36:Cutaneous small-vessel vasculitis 2270:Hemolytic disease of the newborn 1948:Granulomatosis with polyangiitis 1700:Unilateral nevoid telangiectasia 1242:James, William D. (2015-04-20). 483: 474: 465: 456: 117:cutaneous necrotizing vasculitis 2452:Subacute bacterial endocarditis 2314:Immune thrombocytopenic purpura 2018:Bullous small vessel vasculitis 1818:Reactive angioendotheliomatosis 559:(5 Pt 1): 667–87, quiz 688–90. 121:cutaneous necrotizing venulitis 95:, usually accompanied by small 18:Cutaneous necrotizing venulitis 1643:Bonnet–Dechaume–Blanc syndrome 339:erythrocyte sedimentation rate 126:It is the most common form of 1: 2532:Postorgasmic illness syndrome 1541:Pigmentary purpuric eruptions 879:Abbas, Abul K. (2015-11-02). 565:10.1016/S0190-9622(98)70039-8 2589:Hypersensitivity pneumonitis 1723:Arterial insufficiency ulcer 1619:Template:Systemic vasculitis 1584:Superficial thrombophlebitis 1469:Malignant atrophic papulosis 504:List of cutaneous conditions 279:Systemic lupus erythematosus 2655:Systemic autoimmune disease 2491:Allergic contact dermatitis 2411:Hypersensitivity vasculitis 2294:Autoimmune hemolytic anemia 2013:Cryoglobulinemic vasculitis 1799:Arteriosclerosis obliterans 1492:Nonthrombocytopenic purpura 1438:Cryoglobulinemic vasculitis 377:Cryoglobulinemic vasculitis 149:in and around the vessels. 101:hypersensitivity vasculitis 2706: 2161:common allergies include: 1914:Thromboangiitis obliterans 1784:Thromboangiitis obliterans 1638:Arteriovenous malformation 1496:Cryofibrinogenemic purpura 1396:Erythema elevatum diutinum 1198:Arthritis & Rheumatism 1158:Bolognia, Jean L. (2017). 392:ANCA-associated vasculitis 382:Erythema elevatum diutinum 363:(Henoch-Schönlein purpura) 193:connective tissue diseases 1979:Type III hypersensitivity 1561:Painful bruising syndrome 1536:Purpuric agave dermatitis 596:Dermatology: 2-Volume Set 109:hypersensitivity angiitis 57: 48: 2406:Henoch–Schönlein purpura 2221:Eosinophilic esophagitis 1967:Microscopic polyangiitis 1569:Paroxysmal hand hematoma 1434:Cryoglobulinemic purpura 995:10.3389/fimmu.2018.00639 785:10.4103/idoj.idoj_415_18 209:Henoch–Schönlein purpura 2690:Immune system disorders 2522:Hashimoto's thyroiditis 2309:Guillain–BarrĂ© syndrome 1808:Marshall–White syndrome 1794:Septic thrombophlebitis 1574:Postcardiotomy syndrome 1421:Microvascular occlusion 982:Frontiers in Immunology 2623:Autoimmune adrenalitis 1665:lymphatic malformation 1630:Vascular malformations 1143:: CS1 maint: others ( 1069:: CS1 maint: others ( 861:: CS1 maint: others ( 655:Dermatology essentials 333: 97:lumps beneath the skin 1660:Sinusoidal hemangioma 1653:Parkes Weber syndrome 1599:Fibrinolysis syndrome 1594:Blueberry muffin baby 1452:Livedoid vasculopathy 1406:Urticarial vasculitis 553:J. Am. Acad. Dermatol 530:. Saunders Elsevier. 417:Livedoid vasculopathy 372:Urticarial vasculitis 330: 2628:Autoimmune hepatitis 2607:Transplant rejection 2517:Giant cell arteritis 2447:Rheumatoid arthritis 2304:Goodpasture syndrome 2216:Autoimmune urticaria 2043:Goodpasture syndrome 1904:Polyarteritis nodosa 1886:Giant cell arteritis 1881:Takayasu's arteritis 1823:Trousseau's syndrome 1779:Raynaud's phenomenon 1772:cutaneous conditions 1579:Deep vein thrombosis 1506:Food-induced purpura 1501:Drug-induced purpura 1388:Cutaneous vasculitis 598:. St. Louis: Mosby. 275:Rheumatoid arthritis 2094:autoimmune diseases 1865:Systemic vasculitis 1813:Cholesterol embolus 1738:Acroangiodermatitis 1728:Hematopoietic ulcer 1609:Systemic vasculitis 1521:Orthostatic purpura 1516:Obstructive purpura 1457:Livedoid dermatitis 225: 199:Associated symptoms 2537:Reactive arthritis 2527:Multiple sclerosis 2421:Reactive arthritis 2319:Pemphigus vulgaris 2299:Bullous pemphigoid 2200:Penicillin allergy 2136:Allergic urticaria 2048:Sneddon's syndrome 1474:Sneddon's syndrome 1411:Nodular vasculitis 1325:External resources 407:Cholesterol emboli 343:C-reactive protein 334: 313:fibrinoid necrosis 262:Streptococcus spp. 223: 153:Signs and symptoms 2667: 2666: 2663: 2662: 2568: 2567: 2460: 2459: 2369: 2368: 2365: 2364: 2357:Pernicious anemia 2352:Myasthenia gravis 2229: 2228: 2152:Atopic dermatitis 2141:Allergic rhinitis 2056: 2055: 2031: 2030: 1831: 1830: 1733:Neuropathic ulcer 1675:Aagenaes syndrome 1670:Hennekam syndrome 1551:Traumatic purpura 1526:Purpura fulminans 1348: 1347: 1212:10.1002/art.37715 605:978-1-4160-2999-1 537:978-0-7216-2921-6 450:Additional images 387:Granuloma faciale 304:complement system 295: 294: 186:Hyperpigmentation 78: 77: 30:Medical condition 16:(Redirected from 2697: 2650:Sjögren syndrome 2579: 2481: 2386: 2282: 2261: 2121: 2090:Hypersensitivity 2083: 2076: 2069: 2060: 1929: 1909:Kawasaki disease 1858: 1851: 1844: 1835: 1770:vascular-related 1589:Mondor's disease 1375: 1368: 1361: 1352: 1292: 1280: 1279: 1273: 1265: 1239: 1233: 1232: 1214: 1188: 1182: 1181: 1155: 1149: 1148: 1142: 1134: 1109: 1103: 1100: 1075: 1074: 1068: 1060: 1035: 1026: 1025: 1015: 997: 973: 967: 966: 960: 952: 926: 917: 916: 910: 902: 876: 867: 866: 860: 852: 831:Dermatopathology 827: 816: 815: 805: 787: 763: 757: 756: 750: 742: 716: 691: 690: 684: 676: 650: 619: 616: 610: 609: 591: 585: 584: 548: 542: 541: 523: 487: 478: 469: 460: 300:immune complexes 226: 53: 33: 21: 2705: 2704: 2700: 2699: 2698: 2696: 2695: 2694: 2670: 2669: 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1383: 1380: 1378: 1377: 1370: 1363: 1355: 1346: 1345: 1342: 1341: 1329: 1328: 1326: 1322: 1321: 1318: 1317: 1304: 1299: 1298: 1296: 1295:Classification 1288: 1287:External links 1285: 1282: 1281: 1252: 1234: 1183: 1168: 1162:. : Elsevier. 1150: 1121: 1104: 1076: 1047: 1027: 968: 939: 918: 889: 868: 839: 817: 778:(6): 721–723. 758: 729: 692: 663: 620: 611: 604: 586: 543: 536: 514: 513: 511: 508: 507: 506: 501: 494: 491: 490: 489: 482: 480: 473: 471: 464: 462: 455: 451: 448: 426: 423: 422: 421: 420: 419: 414: 409: 404: 399: 394: 389: 384: 379: 374: 369: 364: 361:IgA vasculitis 351: 350:Classification 348: 324: 321: 293: 292: 289: 286: 282: 281: 272: 269: 265: 264: 258:Staphylococcus 255: 252: 248: 247: 246:Cause unknown 244: 241: 237: 236: 233: 230: 216: 213: 200: 197: 159: 156: 154: 151: 76: 75: 66: 60: 59: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2702: 2691: 2688: 2686: 2683: 2681: 2678: 2677: 2675: 2656: 2653: 2651: 2648: 2644: 2641: 2639: 2636: 2635: 2634: 2631: 2629: 2626: 2624: 2621: 2620: 2618: 2614: 2608: 2605: 2602: 2601:Latex allergy 2599: 2595: 2592: 2591: 2590: 2587: 2586: 2584: 2580: 2577: 2571: 2561: 2558: 2557: 2555: 2553: 2549: 2543: 2540: 2538: 2535: 2533: 2530: 2528: 2525: 2523: 2520: 2518: 2515: 2513: 2510: 2509: 2507: 2503: 2497: 2494: 2492: 2489: 2488: 2486: 2482: 2479: 2476: 2471: 2470:cell-mediated 2467: 2463: 2453: 2450: 2448: 2445: 2443: 2440: 2439: 2437: 2433: 2427: 2424: 2422: 2419: 2417: 2414: 2412: 2409: 2407: 2404: 2402: 2401:Farmer's lung 2399: 2397: 2394: 2393: 2391: 2387: 2384: 2381: 2376: 2372: 2358: 2355: 2353: 2350: 2348: 2345: 2344: 2342: 2340: 2336: 2331: 2325: 2322: 2320: 2317: 2315: 2312: 2310: 2307: 2305: 2302: 2300: 2297: 2295: 2292: 2291: 2289: 2287: 2283: 2280: 2276: 2271: 2268: 2266: 2262: 2259: 2253: 2250: 2248: 2245: 2244: 2243: 2242: 2240: 2236: 2232: 2222: 2219: 2217: 2214: 2213: 2211: 2207: 2201: 2198: 2194: 2191: 2189: 2186: 2184: 2181: 2179: 2176: 2174: 2171: 2169: 2166: 2164: 2160: 2159: 2158: 2155: 2153: 2150: 2148: 2145: 2142: 2139: 2137: 2134: 2132: 2129: 2128: 2126: 2122: 2119: 2116: 2111: 2107: 2103: 2099: 2095: 2091: 2084: 2079: 2077: 2072: 2070: 2065: 2064: 2061: 2049: 2046: 2044: 2041: 2040: 2038: 2034: 2024: 2021: 2019: 2016: 2014: 2011: 2009: 2006: 2005: 2003: 1999: 1993: 1990: 1988: 1985: 1984: 1982: 1980: 1976: 1968: 1965: 1963: 1960: 1959: 1958: 1957: 1953: 1949: 1946: 1945: 1944: 1943: 1939: 1938: 1936: 1934: 1930: 1927: 1925: 1921: 1915: 1912: 1910: 1907: 1905: 1902: 1901: 1899: 1897: 1896:Medium vessel 1893: 1887: 1884: 1882: 1879: 1878: 1876: 1874: 1870: 1866: 1859: 1854: 1852: 1847: 1845: 1840: 1839: 1836: 1824: 1821: 1819: 1816: 1814: 1811: 1809: 1805: 1802: 1800: 1797: 1795: 1792: 1790: 1787: 1785: 1782: 1780: 1777: 1776: 1774: 1766: 1760: 1759: 1754: 1753: 1751: 1749: 1745: 1739: 1736: 1734: 1731: 1729: 1726: 1724: 1721: 1719: 1716: 1715: 1713: 1711: 1707: 1701: 1698: 1696: 1693: 1691: 1688: 1686: 1682: 1681: 1676: 1673: 1671: 1668: 1667: 1666: 1663: 1661: 1658: 1654: 1651: 1649: 1648:Cobb syndrome 1646: 1644: 1641: 1640: 1639: 1636: 1635: 1633: 1631: 1627: 1621: 1620: 1615: 1614: 1612: 1610: 1606: 1600: 1597: 1595: 1592: 1590: 1587: 1585: 1582: 1580: 1577: 1575: 1572: 1570: 1566: 1565: 1562: 1559: 1557: 1554: 1552: 1549: 1547: 1546:Solar purpura 1544: 1542: 1539: 1537: 1534: 1532: 1529: 1527: 1524: 1522: 1519: 1517: 1514: 1512: 1509: 1507: 1504: 1502: 1499: 1497: 1493: 1490: 1489: 1487: 1485: 1481: 1475: 1472: 1470: 1467: 1463: 1460: 1458: 1455: 1454: 1453: 1450: 1448: 1443: 1442: 1439: 1435: 1432: 1430: 1429:Calciphylaxis 1427: 1426: 1424: 1422: 1418: 1412: 1409: 1407: 1404: 1402: 1399: 1397: 1394: 1393: 1391: 1389: 1385: 1376: 1371: 1369: 1364: 1362: 1357: 1356: 1353: 1340: 1336: 1335: 1331: 1330: 1327: 1323: 1315: 1314: 1310: 1306: 1305: 1302: 1297: 1293: 1286: 1277: 1271: 1263: 1259: 1255: 1253:9780323319676 1249: 1245: 1238: 1235: 1230: 1226: 1222: 1218: 1213: 1208: 1204: 1200: 1199: 1194: 1187: 1184: 1179: 1175: 1171: 1169:9780702062759 1165: 1161: 1154: 1151: 1146: 1140: 1132: 1128: 1124: 1122:9781455733941 1118: 1114: 1108: 1105: 1099: 1097: 1095: 1093: 1091: 1089: 1087: 1085: 1083: 1081: 1077: 1072: 1066: 1058: 1054: 1050: 1048:9780723435716 1044: 1040: 1034: 1032: 1028: 1023: 1019: 1014: 1009: 1005: 1001: 996: 991: 987: 983: 979: 972: 969: 964: 958: 950: 946: 942: 940:9781455726134 936: 932: 925: 923: 919: 914: 908: 900: 896: 892: 890:9780323390828 886: 882: 875: 873: 869: 864: 858: 850: 846: 842: 840:9780443066542 836: 832: 826: 824: 822: 818: 813: 809: 804: 799: 795: 791: 786: 781: 777: 773: 769: 762: 759: 754: 748: 740: 736: 732: 730:9780323358316 726: 722: 715: 713: 711: 709: 707: 705: 703: 701: 699: 697: 693: 688: 682: 674: 670: 666: 664:9780702055393 660: 656: 649: 647: 645: 643: 641: 639: 637: 635: 633: 631: 629: 627: 625: 621: 615: 612: 607: 601: 597: 590: 587: 582: 578: 574: 570: 566: 562: 558: 554: 547: 544: 539: 533: 529: 522: 520: 516: 509: 505: 502: 500: 497: 496: 492: 486: 481: 477: 472: 468: 463: 459: 454: 449: 447: 445: 441: 437: 433: 424: 418: 415: 413: 412:Septic emboli 410: 408: 405: 403: 400: 398: 395: 393: 390: 388: 385: 383: 380: 378: 375: 373: 370: 368: 365: 362: 359: 358: 357: 356: 355: 349: 347: 344: 340: 329: 322: 320: 316: 314: 309: 305: 301: 290: 287: 284: 283: 280: 276: 273: 270: 267: 266: 263: 259: 256: 253: 250: 249: 245: 242: 239: 238: 234: 231: 228: 227: 221: 214: 212: 210: 204: 198: 196: 194: 189: 187: 182: 178: 176: 171: 169: 163: 157: 152: 150: 148: 144: 139: 137: 133: 129: 124: 122: 118: 114: 110: 106: 102: 98: 94: 93:blood vessels 90: 86: 82: 74: 70: 67: 65: 61: 56: 52: 47: 43: 39: 34: 19: 2496:Mantoux test 2410: 2157:Food allergy 2022: 1986: 1954: 1940: 1933:Pauci-immune 1924:Small vessel 1873:Large vessel 1755: 1718:Venous ulcer 1683: 1664: 1616: 1447:coagulopathy 1444: 1401:Capillaritis 1387: 1332: 1307: 1243: 1237: 1202: 1196: 1186: 1160:Dermatologyh 1159: 1153: 1112: 1107: 1038: 985: 981: 971: 930: 880: 830: 775: 771: 761: 720: 654: 614: 595: 589: 556: 552: 546: 527: 444:azathioprine 440:methotrexate 428: 353: 335: 317: 296: 285:Medications 261: 257: 218: 205: 202: 190: 183: 179: 172: 170:skin layer. 164: 161: 158:Skin lesions 140: 125: 120: 116: 112: 108: 104: 100: 89:inflammation 84: 80: 79: 69:Rheumatology 2147:Anaphylaxis 2143:(Hay fever) 1567:ungrouped: 1205:(1): 1–11. 1039:Dermatology 499:Skin lesion 341:(ESR), and 308:neutrophils 268:Autoimmune 240:Idiopathic 147:neutrophils 41:Other names 2674:Categories 2616:Autoimmune 2505:Autoimmune 2435:Autoimmune 2278:Autoimmune 2209:Autoimmune 1804:Bier spots 1748:Lymphedema 510:References 432:colchicine 251:Infection 232:Frequency 128:vasculitis 73:Immunology 2286:Cytotoxic 2001:Ungrouped 1768:Ungrouped 1445:vascular 1270:cite book 1262:910882314 1178:981985926 1139:cite book 1131:820203833 1065:cite book 1057:802040381 1004:1664-3224 957:cite book 949:879416939 907:cite book 899:929898069 857:cite book 849:658000389 794:2229-5178 747:cite book 739:947111367 681:cite book 673:877821912 425:Treatment 323:Diagnosis 235:Examples 143:leukocyte 91:of small 64:Specialty 2575:multiple 2573:Unknown/ 2375:Type III 2339:receptor 2188:Tree nut 1334:Orphanet 1229:20891451 1221:23045170 1022:29713318 812:31807459 581:26565263 493:See also 2582:Foreign 2484:Foreign 2475:T cells 2466:Type IV 2389:Foreign 2264:Foreign 2235:Type II 2178:Seafood 2124:Foreign 2106:allergy 1484:Purpura 1316:: M31.0 1013:5911619 988:: 639. 803:6859773 573:9810883 436:dapsone 288:10–15% 271:15–20% 254:15–20% 243:45–55% 134:in the 132:venules 2603:(I+IV) 2335:Type V 2173:Peanut 2102:Type I 1956:p-ANCA 1942:c-ANCA 1260:  1250:  1227:  1219:  1176:  1166:  1129:  1119:  1055:  1045:  1020:  1010:  1002:  947:  937:  897:  887:  847:  837:  810:  800:  792:  737:  727:  671:  661:  602:  579:  571:  534:  229:Cause 175:ulcers 168:dermis 136:dermis 2442:Lupus 2193:Wheat 2110:atopy 2036:Other 1710:Ulcer 1225:S2CID 577:S2CID 215:Cause 87:) is 2643:APS2 2638:APS1 2552:GVHD 2239:ADCC 2168:Milk 2092:and 1756:see 1617:see 1276:link 1258:OCLC 1248:ISBN 1217:PMID 1174:OCLC 1164:ISBN 1145:link 1127:OCLC 1117:ISBN 1071:link 1053:OCLC 1043:ISBN 1018:PMID 1000:ISSN 963:link 945:OCLC 935:ISBN 913:link 895:OCLC 885:ISBN 863:link 845:OCLC 835:ISBN 808:PMID 790:ISSN 753:link 735:OCLC 725:ISBN 687:link 669:OCLC 659:ISBN 600:ISBN 569:PMID 532:ISBN 442:and 260:and 188:"). 119:and 85:CSVV 2252:IgM 2247:IgG 2183:Soy 2163:Egg 2115:IgE 1339:889 1309:ICD 1207:doi 1008:PMC 990:doi 798:PMC 780:doi 561:doi 434:or 138:). 123:, 2676:: 2337:"/ 1494:: 1337:: 1313:10 1272:}} 1268:{{ 1256:. 1223:. 1215:. 1203:65 1201:. 1195:. 1172:. 1141:}} 1137:{{ 1125:. 1079:^ 1067:}} 1063:{{ 1051:. 1030:^ 1016:. 1006:. 998:. 984:. 980:. 959:}} 955:{{ 943:. 921:^ 909:}} 905:{{ 893:. 871:^ 859:}} 855:{{ 843:. 820:^ 806:. 796:. 788:. 776:10 774:. 770:. 749:}} 745:{{ 733:. 695:^ 683:}} 679:{{ 667:. 623:^ 575:. 567:. 557:39 555:. 518:^ 277:, 195:. 115:, 111:, 107:, 103:, 71:, 2477:) 2473:( 2468:/ 2382:) 2378:( 2333:" 2237:/ 2117:) 2113:( 2108:/ 2104:/ 2082:e 2075:t 2068:v 1857:e 1850:t 1843:v 1806:/ 1687:: 1449:: 1436:/ 1374:e 1367:t 1360:v 1311:- 1301:D 1278:) 1264:. 1231:. 1209:: 1180:. 1147:) 1133:. 1073:) 1059:. 1024:. 992:: 986:9 965:) 951:. 915:) 901:. 865:) 851:. 814:. 782:: 755:) 741:. 689:) 675:. 608:. 583:. 563:: 540:. 83:( 20:)

Index

Cutaneous necrotizing venulitis

Specialty
Rheumatology
Immunology
inflammation
blood vessels
lumps beneath the skin
vasculitis
venules
dermis
leukocyte
neutrophils
dermis
ulcers
Hyperpigmentation
connective tissue diseases
Henoch–Schönlein purpura
Rheumatoid arthritis
Systemic lupus erythematosus
immune complexes
complement system
neutrophils
fibrinoid necrosis

erythrocyte sedimentation rate
C-reactive protein
IgA vasculitis
Acute hemorrhagic edema of infancy
Urticarial vasculitis

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