Email this article Cutaneous аngiitis
- Authors: Teplyuk N.P.1, Grabovskaya O.V.1, Kolesova Y.V.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University
- Issue: Vol 23, No 4 (2020)
- Pages: 268-271
- Section: PHOTO GALLERY
- URL: https://rjsvd.com/1560-9588/article/view/48922
- DOI: https://doi.org/10.17816/dv48922
- ID: 48922
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Abstract
The clinical manifestations of various forms of vasculitis are presented with short comments to each photo.
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About the authors
N. P. Teplyuk
I.M. Sechenov First Moscow State Medical University
Email: kolesovamsmu@gmail.com
ORCID iD: 0000-0002-5800-4800
Russian Federation, Moscow
O. V. Grabovskaya
I.M. Sechenov First Moscow State Medical University
Email: kolesovamsmu@gmail.com
ORCID iD: 0000-0002-1231-1717
Russian Federation, Moscow
Yuliya V. Kolesova
I.M. Sechenov First Moscow State Medical University
Author for correspondence.
Email: kolesovamsmu@gmail.com
ORCID iD: 0000-0002-3617-2555
clinical resident
Russian Federation, MoscowReferences
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Fig. 1. Urticarial type; unlike urticaria, blisters with urticarial angiitis are persistent, persisting for 1-3 days or more. Instead of severe itching, patients usually experience a burning sensation or skin irritation.
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Fig. 2. Pustular-ulcerative type (pyoderma gangrenosum). It begins acutely with a furuncle-like element, which transforms into an ulcerative focus with rapid eccentric growth due to the disintegration of a swollen, bluish-red, peripheral ridge. Refers to the group of neutrophilic dermatoses.
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Fig. 3. Hemorrhagic type; the most common element of the rash is a palpable purpura. It begins acutely, usually after a sore throat, may be accompanied by fever, arthralgia, and abdominal pain.
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Fig. 4. Papulo-nodular type. It is necessary to differentiate with papulo-necrotizing tuberculosis.
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Fig. 5. Necrotic ulcerative type. Most often it starts with hemorrhagic rashes, which are accompanied by necrosis with the formation of ulcerative defects. The process is symmetrical.
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Fig. 6. Gangrenous pyoderma (atypical localization). Rashes can be on any part of the skin (a, b), but more often on the lower extremities.
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Fig. 7. Polymorphic type. Combination of hemorrhagic and necrotizing ulcerative types.
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Fig. 8. Petechial type. Chronic dermal capillaritis with an outcome in persistent brownish-yellow spots of hemosiderosis.
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Fig. 9. Eczematoid type. In addition to petechiae and hemosiderosis, there are phenomena of eczematization (swelling, diffuse hyperemia, papulovesicles, crusts). Itching worries.
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Fig. 10. Livedo-angiitis. In the morning, the color of the spots is barely noticeable, and in the evening it sharply increases. In pathogenesis, antiphospholipid antibodies often play a role, being factors in the activation of hemocoagulation and the formation of blood clots.
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Fig. 11. Lived angiitis with ulceration. Hypercoagulability associated with mutations of coagulation factors (coagulation factors FII, FV, FXIII) is often detected.
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Fig. 12. Angiitis nodosum (erythema nodosum). a - sharp; rashes appear acutely on the legs and are accompanied by severe soreness and fibrillation; b - chronic; differs in a persistent recurrent course, usually in women of mature age, against the background of bulky and chronic inflammatory diseases of the pelvic organs.
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Fig. 13. Angiitis nodular-ulcerative. More often women of mature age are ill. The skin process is characterized by a torpid course and possible relapses.
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