Vasculitis Skin Condition : What Is It ? Treatment and Advice For Patient
Vasculitis is an inflammation of the blood vessels in the skin, usually due to the deposit of immune complexes in the walls of the vessels.
Approximate age group
Affects all age groups.
Presentation
The presentation will differ depending on the size and site of vessels involved. If the capillaries are involved, there will be a polymorphic rash with palpable purpura, as well as macules, papules, vesicles and pustules. If there is arterial involvement, livedo reticularis, nodules and ulceration of the lower leg may be present. Where there is arterial and venous involvement, there will be red, tender nodules or deep plaques in the subcutaneous fat.
Vasculitis has numerous causes, including:
• infection (e.g. streptococcal infection)
• collagen vascular disease (e.g. systemic lupus erythematosus (SLE), rheumatoid, systemic sclerosis)
• plasma protein abnormalities
• drugs (e.g. allopurinol, barbiturates, carbimazole, thiazide diruetics)
• idiopathic (no cause found).
Treatment
Identification of the underlying cause and treating this is the aim. Urinalysis will help identify if there is renal involvement. If urinalysis identifies protein or blood in the urine, specialist help should be sought as the patient may require systemic steroids or cyclophosphamide.
Treatment is symptomatic (e.g. analgesia for pain). Where no cause can be found (idiopathic), the patient should be reassured that the condition is self limiting and should resolve within 3−6 weeks.
Advice to patient
Bed rest will stop new lesions forming. Regular analgesia should taken for pain.
Traffic light
Henoch-Schönlein purpura is a form of vasculitis and occurs mainly in the young
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Vasculitis Skin Treatment, Skin Condition, Advice For Patient
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