Cutaneous Changes: An Initial Manifestation of Pulmonary Wegener's Granulomatosis

被引:12
|
作者
Zycinska, Katarzyna [1 ,2 ]
Wardyn, Kazimierz [1 ,2 ]
Zielonka, Tadeusz M. [1 ,2 ]
Nitsch-Osuch, Aneta [1 ,2 ]
Smolarczyk, Roman [1 ,2 ]
机构
[1] Med Univ Warsaw, Dept Family Med, PL-02097 Warsaw, Poland
[2] Czerniakowski Hosp Warsaw, Syst Vasculitis Outpatient Clin, Warsaw, Poland
关键词
Wegener's granulomatosis; Pyoderma gangrenosum; Skin biopsy; Cutaneous vasculitis; Leukocytoclastic vasculitis; VASCULITIS UPDATE; SKIN;
D O I
10.1007/978-94-007-4546-9_39
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Cutaneous vasculitis can occur as an isolated dermatologic disorder or as manifestation of a potentially life-threatening systemic vasculitis such as Wegener's granulomatosis (WG). The aim of the study was to characterize cutaneous lesions in 66 WG patients (30 female, 36 male) and to assess the viability of skin biopsy the diagnosis of WG. Skin involvement was observed in 21 (32%) WG patients; in 14 (21%) patients as an initial manifestation and in other seven during the diagnosis establishment. Cutaneous lesions included palpable purpura (n = 10), subcutaneous nodules (n = 4), hemorrhagic bullae (n = 3), ulcers (n = 2), pustules (n = 1), pyoderma gangrenosum (n = 1). The patient with pulmonary WG can present initially with cutaneous symptoms and positive PR3-ANCA serologic test results. Leukocytoclastic vasculitis (LCV) was the predominant histopathologic pattern.
引用
收藏
页码:307 / 310
页数:4
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