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Skin involvement in cutaneous and systemic vasculitis.

Angelo V Marzano1, Pamela Vezzoli, Emilio Berti

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Summary

Cutaneous vasculitides are diverse inflammatory skin blood vessel disorders. This review covers common types like small vessel vasculitis and urticarial vasculitis, plus related conditions.

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Area of Science:

  • Dermatology
  • Rheumatology
  • Immunology

Background:

  • Cutaneous vasculitides encompass inflammatory conditions affecting skin blood vessels.
  • Triggers include infections, drugs, or underlying diseases like connective tissue disorders or malignancies.
  • In some cases, vasculitis occurs without identifiable causes, and skin lesions may be the initial or sole manifestation.

Purpose of the Study:

  • To review the most common variants of cutaneous vasculitis.
  • To discuss related conditions and cutaneous manifestations of systemic vasculitides.
  • To provide an overview of diagnostic considerations for cutaneous vasculitis.

Main Methods:

  • Literature review focusing on common cutaneous vasculitis types.
  • Analysis of associated conditions and systemic vasculitis manifestations.
  • Discussion of diagnostic approaches, including vasculitis as a diagnosis of exclusion.

Main Results:

  • Common variants include cutaneous small vessel vasculitis and urticarial vasculitis.
  • Henoch-Schönlein purpura, though systemic, often presents with predominant skin involvement.
  • Livedoid vasculopathy, frequently linked to connective tissue disease, is discussed despite not being overtly vasculitic.
  • Cutaneous manifestations of systemic vasculitides like Wegener's granulomatosis, Churg-Strauss syndrome, and polyarteritis nodosa are analyzed.

Conclusions:

  • Cutaneous vasculitis is a complex group of disorders with varied etiologies and presentations.
  • Accurate diagnosis often requires considering vasculitis as a diagnosis of exclusion and recognizing its association with systemic diseases.
  • This review highlights key variants and related conditions, aiding in understanding and managing these dermatologic manifestations.