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Cutaneous leucocytoclastic vasculitis

N Guerouaz, M Alaoui, M Raiss, B Hassam, K Senouci
Systemic vasculitis secondary to thyroid carcinomas is exceptional. We report the case of a 55-year-old woman who presented with systemic vasculitis involving leucocytoclastic cutaneous vasculitis and renal disorders secondary to papillary thyroid carcinoma (PTC). Her symptoms resolved completely after total thyroidectomy. Other causes of vasculitis were excluded. To our knowledge, this is only the second case reported of systemic vasculitis associated with PTC in a paraneoplastic manner.
August 2016: Clinical and Experimental Dermatology
J Muto, N Fujimoto, K Ono, T Kobayashi, K R Chen, S Suzuki, H Wachi, S Tajima
BACKGROUND: Neutrophil elastase plays an important role in skin inflammation induced by neutrophil infiltration. Elafin is an inducible elastase inhibitor expressed by keratinocytes, and is known to be involved in pathogenesis of neutrophilic skin disorders such as psoriasis. METHODS: Immunohistochemical studies of elafin expression in the cases of vasculitis were performed. Induction of elafin expression in cultured vascular cells and its effect on neutrophil migration were studied in vitro...
September 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
C Serra E Moura Garcia, A Sokolova, M L Torre, C Amaro
Acute Hemorrhagic Edema of Infancy is a small vessel leucocytoclastic vasculitis affecting young infants. It is characterized by large, target-like, macular to purpuric plaques predominantly affecting the face, ear lobes and extremities. Non-pitting edema of the distal extremities and low-grade fever may also be present. Extra-cutaneous involvement is very rare. Although the lesions have a dramatic onset in a twenty-four to forty-eight hour period, usually the child has a non-toxic appearance. In most cases there are no changes in laboratory parameters...
January 2016: European Annals of Allergy and Clinical Immunology
Eslam Saber Esmail, Fat-heyah Elsayed Asal, Mohammed Yussif, Asem Ahmed Elfert
BACKGROUND AND STUDY AIMS: Chronic hepatitis C virus (HCV) is a major public health problem and represents a common cause of chronic liver disease worldwide. The Egyptian Demographic Health Survey (EDHS) has estimated HCV prevalence in Egypt to be 14.7%. HCV can affect multiple organ systems and cause a variety of extrahepatic manifestations. Most of extrahepatic manifestations affect the skin and mucous membranes; such as lichen planus (LP), psoriasis, and leucocytoclastic vasculitis...
September 2015: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
B Worley, S J Glassman
Hydroxyurea is used in essential thrombocythaemia to lower thromboembolic risk. Cutaneous adverse effects from hydroxyurea are diverse. Small vessel vasculitis has been rarely reported, and the coexistence of several different morphologies has not been described. We report a case of acral keratoses, psoriasiform plaques and leucocytoclastic vasculitis (LCV) in a patient with essential thrombocythaemia. A 69-year-old woman developed a confusing array of skin lesions including keratotic papules, psoriasiform plaques and keratoderma 4 years after commencing hydroxyurea therapy...
March 2016: Clinical and Experimental Dermatology
Vibhu Mendiratta, Niti Gaur, Ritika Sud, Soumya Agarwal, Ram Chander
No abstract text is available yet for this article.
November 2014: Indian Journal of Dermatology
Tamer A Gheita, Hussam Ammar, Sanaa A Kenawy
INTRODUCTION: Pulmonary arterial hypertension (PAH) is a serious complication of systemic sclerosis (SSc), has a dramatic impact on prognosis and survival and is a leading cause of death. CASE DESCRIPTION: A 40 years old female patient with difuse cutaneous SSc (dcSSc) presented with progressive dyspnea, choking sensation, cough, abdominal distension, constipation and dysphagia to solids. The muscle power was mildly reduced and multiple purpuric eruptions were present on the legs of variable sizes...
2014: SpringerPlus
Sowmya Bondalapati, Dharma Rao V, Dilip Rampure, Rama Rao S
Anti-tuberculosis drugs frequently result in cutaneous adverse reactions but Isoniazid is known to have least toxic potential for cutaneous reactions. We report a rare case of Isoniazid induced cutaneous leucocytoclastic vasculitis. A 64-year-old male was diagnosed to have Pott's spine with multiple vertebral body involvement (D8-12 vertebrae). Subsequently, he was treated with first line anti-TB drugs i.e., Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. On the fourth day of treatment with Anti Tuberculosis Treatment (ATT), the patient developed an erythematosus rash over right upper limb not associated with itching or pain, non-blanchable macules and papules over bilateral shins on lower limbs, petechiae on both forearms and hyper pigmented, scaly rash over right axilla and buttocks...
August 2014: Journal of Clinical and Diagnostic Research: JCDR
Javier Loricera, Ricardo Blanco, Francisco Ortiz-Sanjuán, José L Hernández, Trinitario Pina, M Carmen González-Vela, Vanesa Calvo-Río, Javier Rueda-Gotor, Lino Alvarez, Marcos A González-López, María Marcellán, Miguel A González-Gay
OBJECTIVE: Cutaneous vasculitis (CV) encompasses a wide group of entities characterized by inflammation of skin blood vessels. The term single-organ vasculitis was recently coined by the 2012 Chapel Hill Consensus Conference (CHCC) to define vasculitis affecting a single organ. To our knowledge there are no published reports on single-organ cutaneous small vessel vasculitis (SoCSVV). Our aim was to characterize this entity from a wide series of patients with CV. METHODS: We analysed cases of SoCSVV from a series of 766 patients with CV from a single university referral centre...
January 2015: Rheumatology
Isabel Arias-Martínez, Marco Venancio-Hernández
Hypereosinophilic syndrome is characterized by peripheral eosinophilia over 1,500 cell/mm3 and/or tissue eosinophilia, with dysfunction or damage to organ, once other causes were ruled out. This paper presents a case of hypereosinophilic syndrome (HS) which presented as lymphoblastic leukemia in a teenager. This is a 13 year old female, with B cell lymphoblastic leukemia at 9 years old, who received chemotherapy for 2 years achieving remission. One year after remission she presented malar rash, hair loss, arthralgias, conjuntival redness, dyspnea and thoracic oppression...
October 2013: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
Alexandra Audemard, Thierry Lamy, Benoît Bareau, Flore Sicre, Felipe Suarez, Florence Truquet, Véronique Salaun, Magaret Macro, Laurence Verneuil, Thierry Lobbedez, Cindy Castrale, Jonathan Boutemy, Stéphane Cheze, Loïk Geffray, Nicolas Schleinitz, Jérôme Rey, Estibaliz Lazaro, Loïc Guillevin, Boris Bienvenu
OBJECTIVE: The association between vasculitis and large granular lymphocyte (LGL) leukemia has rarely been reported or investigated. Thus, we assessed the clinical and biological phenotypes of LGL leukemia associated with vasculitis. RESULTS: We studied a series of 11 patients displaying LGL leukemia associated with vasculitis (LAV). The mean age at diagnosis of LGL leukemia was 60.3 years; there were nine women and two men. The mean follow-up period was 45 months...
December 2013: Seminars in Arthritis and Rheumatism
Annika Kathrin Steingräber, Sonja Schelhaas, Andreas Faust, Andreas Hans Jacobs, Michael Schäfers, Tobias Goerge
Matrix metalloproteinases (MMPs) play a critical role in various pathological conditions including cutaneous inflammation. Thus far, serial assessment of MMP activity in ongoing inflammation is hampered due to technical limitations. Here, we present an innovative method for longitudinal detection of MMP activity by in vivo imaging. First, we analysed skin sections from patients suffering from leucocytoclastic vasculitis (LcV) and detected a significant MMP signal via immunofluorescence staining. Then, we mimicked LcV in mice in a well-studied model of immune complex-mediated vasculitis (ICV)...
November 2013: Experimental Dermatology
H Y Huang, Y H Wu, C F Kuo
Klebsiella pneumoniae is a well-known Gram-negative pyogenic pathogen that can cause various types of infection. Liver abscesses caused by community-acquired K. pneumoniae infection are commonly reported in Taiwan, especially in people with diabetes mellitus. Meningococcal bacteraemia can present as disseminated pustules and leucocytoclastic vasculitis, but it has rarely been seen in patients with K. pneumoniae infection. To date, there are only two reports in the English literature about K. pneumoniae bacteraemia presenting as generalized pustulosis...
August 2013: Clinical and Experimental Dermatology
S Kosaka, S Osada, T Kaneko, S Nishimura, S Kawana
Complete deficiency of the fourth component of complement (C4) is an extremely rare condition. However, it has been reported that partial C4 deficiency can occur in normal subjects, and is associated with several immune diseases. We report a 44-year-old woman who developed slight oedema and punctate purpura on her lower legs after a common cold. She was noted to have persistent microscopic haematuria and proteinuria, and her C4 level was undetectable. On histological examination of a skin biopsy specimen, leucocytoclastic vasculitis was seen, with granular deposition of IgG, IgM, C3 and C1q on the vessel walls in the upper dermis...
July 2013: Clinical and Experimental Dermatology
Katriina Nikkilä, Heikki Mäkisalo, Susanna Virolainen
Association of cutaneous leukocytoclastic vasculitis with colon carcinoma has occasionally been reported. We report a case of acute cutaneous leucocytoclastic vasculitis that developed over two weeks after liver resection due to metastatic rectal adenocarcinoma. The primary tumor had earlier been resected and treated with neoadjuvant chemotherapy. No actual infection was found and the medication was not changed recently except for the prophylaxis cephalosporin for five days at the time of liver resection. The patient received corticosteroid therapy and had remission of vasculitis at one month control but still ongoing haematuria...
2013: Duodecim; Lääketieteellinen Aikakauskirja
Anirban Bhattacharyya, Kalpana Yeddula, Nwabundo Nwankwo, Mourad H Senussi
No abstract text is available yet for this article.
2013: BMJ Case Reports
Ranjan K Shetty, Mohit Madken, Kushal Naha, G Vivek
We describe a case of leucocytoclastic vasculitis manifested as exanthematous rash in a 57-year-old woman on long-term therapy with clopidogrel. The diagnosis was confirmed by skin biopsy. The patient was managed symptomatically with oral antihistaminics and topical steroids in consultation with dermatologists. Clopidogrel therapy was discontinued on suspicion of drug-induced vasculitis. The rash resolved completely within 2 weeks of withdrawal of clopidogrel, satisfying criteria for a probable adverse drug reaction...
2013: BMJ Case Reports
Justin Keasberry, Jeremy Frazier, Nicole M Isbel, Carolyn L Van Eps, Kimberley Oliver, David W Mudge
UNLABELLED: HASH(0x3d7c3b8) INTRODUCTION: Anti-neutrophil cytoplasmic antibody-associated vasculitis has been associated with many drugs and it is a relatively rare side effect of the antihypertensive drug hydralazine. The diagnosis and management of patients who have anti-neutrophil cytoplasmic antibody-associated vasculitis may be challenging because of its relative infrequency, variability of clinical expression and changing nomenclature. The spectrum of anti-neutrophil cytoplasmic antibody-associated vasculitis is wide and can be fatal...
2013: Journal of Medical Case Reports
Shuchi Gulati, Nirav P Patel, Sharon L Swierczynski
Autoimmune phenomena including vasculitis are known to be associated with malignancy, especially those that are haematological in origin. Vasculitis syndromes associated with malignant disease include cutaneous leucocytoclastic vasculitis, polyarteritis nodosa, Churg-Strauss syndrome, microscopic polyangiitis, Wegener's granulomatosis and Henoch-Schönlein purpura. We describe a patient whose initial presentation with vasculitis led to the diagnosis of hairy cell leukaemia.
2012: BMJ Case Reports
Stanislas Bataille, Aurélie Daumas, Anne-Marie Tasei, Noémie Jourde-Chiche, Bertrand Dussol, Stéphane Burtey, Solène Taugourdeau, Yvon Berland, Laurent Chiche
INTRODUCTION: Henoch-Schönlein purpura is a small-vessel systemic vasculitis. Although its exact pathophysiology remains unknown, Henoch-Schönlein purpura has been reported in association with various medical conditions including hypersensitivity. We report the case of a patient with vancomycin-induced Henoch-Schönlein purpura. CASE PRESENTATION: A 42-year-old Caucasian man who had previously undergone a heart transplant was diagnosed as having an intra-abdominal abscess after he underwent a Hartmann procedure...
2012: Journal of Medical Case Reports
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