Cutaneous small-vessel vasculitis
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Cutaneous small-vessel vasculitis | |
---|---|
Synonyms | Leukocytoclastic vasculitis, hypersensitivity vasculitis |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Purpura, Petechiae, Urticaria, Blisters, Ulcers |
Complications | Kidney damage, Gastrointestinal bleeding, Peripheral neuropathy |
Onset | Sudden |
Duration | Variable |
Types | N/A |
Causes | Infection, Medication, Autoimmune disease |
Risks | Age, Genetic predisposition, Environmental factors |
Diagnosis | Skin biopsy, Blood tests |
Differential diagnosis | Henoch-Schönlein purpura, Systemic vasculitis, Drug eruption |
Prevention | N/A |
Treatment | Corticosteroids, Immunosuppressants, Antihistamines |
Medication | N/A |
Prognosis | Generally good with treatment |
Frequency | Common |
Deaths | N/A |
Cutaneous small-vessel vasculitis (CSVV), also known as hypersensitivity vasculitis, hypersensitivity angiitis, and leukocytoclastic vasculitis, is a condition that causes inflammation and damage to the small blood vessels in the skin. This can result in a variety of symptoms, including red or purple spots on the skin, itching, and in some cases, systemic symptoms such as fever and joint pain.
Causes
CSVV is often associated with reactions to medications, infections, or other diseases. It can also occur as a result of an autoimmune response, where the body's immune system mistakenly attacks its own tissues.
Symptoms
The most common symptom of CSVV is a rash, which typically appears as red or purple spots (petechiae) or larger patches (purpura) on the skin. The rash is often located on the lower legs, but can appear anywhere on the body. Other symptoms can include itching, burning, or pain at the site of the rash, and in some cases, systemic symptoms such as fever, fatigue, and joint pain.
Diagnosis
Diagnosis of CSVV is typically based on the appearance of the rash and a patient's medical history. In some cases, a skin biopsy may be performed to confirm the diagnosis.
Treatment
Treatment for CSVV is aimed at reducing inflammation and managing symptoms. This can include the use of nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or other immunosuppressive medications. In some cases, treating the underlying cause of the vasculitis, such as discontinuing a medication or treating an infection, can also help to resolve the condition.
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Contributors: Prab R. Tumpati, MD