环状白细胞凝集性血管炎：IgA 血管炎的新特征

Q3 Medicine

European journal of case reports in internal medicine Pub Date : 2024-04-03 DOI:10.12890/2024_004278

Nabil Belfeki, N. Ghriss, Sonia Kammoun, Souheil Zayet, Cyrus Moini, Benjamin Terrier

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引用次数: 0

摘要

背景：环状红斑是白细胞吞噬性血管炎的一种罕见表现。它可能与各种药物、感染、恶性肿瘤或全身性疾病有关。病例描述一名 36 岁女性，无个人病史，出现环状红斑，伴有靶病变和瘀斑性紫癜。患者伴有发热和关节痛。皮肤活检显示白细胞凝集性血管炎，直接免疫荧光显示有 IgA 沉积。诊断结果为免疫球蛋白 A 血管炎伴环状白细胞凝集性血管炎。使用局部类固醇治疗后，患者病情全面好转，且未复发。结论环状变异的白细胞胞浆性血管炎是免疫球蛋白 A 型血管炎的一种罕见表现。

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Annular leukocytoclastic vasculitis: a new feature of IgA vasculitis

Background: Annular erythema is a rare manifestation of leukocytoclastic vasculitis. It may be associated with various drugs, infections, malignancies, or systemic diseases. Case description: A 36-year-old woman with no personal medical history presented with annular erythema with target lesions and petechial purpura. The patient had fever and joint arthralgia. A skin biopsy showed leukocytoclastic vasculitis with IgA deposits on direct immunofluorescence. The diagnosis of immunoglobulin A vasculitis with annular leukocytoclastic vasculitis was made. The patient showed global improvement with topical steroids without relapse. Conclusion: An annular variant of leukocytoclastic vasculitis is a rare manifestation of immunoglobulin A vasculitis.

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来源期刊

European journal of case reports in internal medicine

CiteScore

2.10

自引率

0.00%

发文量

166

审稿时长

8 weeks

期刊介绍： The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.