Vasculitis of small and large vessels, a casual association?

Authors:
Yahia Abuowda
Yahia Abuowda
Autoimmune Diseases Clinic
Redwood City | United States
Ana Alves Oliveira
Ana Alves Oliveira
Redwood City | United States
Ana Mestre
Ana Mestre
Departamento de Química e Bioquímica and CQB
Cristina Santos
Cristina Santos
University of the Azores
Portugal

Rev Assoc Med Bras (1992) 2018 Jul;64(7):590-594

Internal Medicine Department - III, District Hospital of Santarem, Portugal.

The authors report a case of a 69-year-old man with idiopathic leukocytoclastic cutaneous vasculitis. For three years, the lesions recurred with progressive worsening and were associated with systemic manifestations of low-grade fever, weight loss and raised inflammatory markers. The patient latter presented a 6th cranial nerve involvement, raising the concern of a possible systemic vasculitis, which was latter evidenced by the development of deep vein thrombosis and angina pectoris. The treatment of the patient witch based on the decreasing of inflammatory activity, by using effective immunosuppressive therapy, with lower toxicity is more important than identifying the type of the vasculitis. This case illustrates the importance of awareness for the systemic involvement that can occur in up to 50% of patients with leukocytoclastic cutaneous vasculitis.

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Source
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/1806-9282.64.07.590DOI Listing
July 2018
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References

(Supplied by CrossRef)
Update on vasculitis
Khasnis A et al.
J Allergy Clin Immunol 2009
Diagnostic approach in patients with suspected vasculitis
Sharma AM et al.
Tech Vasc Interv Radiol 2014
Dermatologic diagnosis: leukocytoclastic vasculitis
Einhorn J et al.
Perm J 2015
Atualização das manifestações neurológicas das vasculitis e das doenças do tecido conjuntivo: revisão de literatura
Bougea A et al.
Einstein 2015
Vasculitis leucocitoclástica: un reto diagnóstico para el médico internista
Meza-Ayala CM et al.
Med Int Mex 2015

Kermani TA et al.
2014
Giant cell arteritis
Calvo-Romero J et al.
Postgrad Med J 2003
Manifestações cardíacas das das doenças do conectivo
Dutschmann L et al.
Acta Medica Portuguesa 1989

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