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Reactive angioendotheliomatosis presenting as cellulitis
M Rozenblat1, Y Pessach, A Gat
1Department of Dermatology, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Clinical and Experimental Dermatology
|March 19, 2013
Summary
Reactive angioendotheliomatosis (RAE) presents diverse clinical signs, complicating diagnosis. This case highlights RAE mimicking cellulitis in a patient with valvular and end-stage renal disease on hemodialysis.
Area of Science:
- Vascular pathology
- Dermatology
- Nephrology
Background:
- Reactive angioendotheliomatosis (RAE) is a rare vascular proliferation.
- RAE presents with varied clinical manifestations, often posing diagnostic challenges.
- Differential diagnosis is crucial due to its diverse presentations.
Observation:
- A 74-year-old female patient presented with symptoms suggestive of cellulitis.
- The patient had a history of valvular disease and end-stage renal disease requiring hemodialysis.
- Clinical presentation mimicked infectious cellulitis, complicating initial assessment.
Findings:
- The case demonstrates a rare instance of RAE presenting atypically.
- RAE's ability to mimic common conditions like cellulitis was evident.
- Diagnostic challenges were amplified by the patient's comorbidities.
Implications:
- This case underscores the importance of considering rare diagnoses in challenging clinical scenarios.
- Awareness of RAE's mimetic potential can prevent diagnostic delays.
- Further research into RAE's pathogenesis and diagnostic criteria is warranted.
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