Home > Journals > Giornale Italiano di Dermatologia e Venereologia > Past Issues > Giornale Italiano di Dermatologia e Venereologia 2017 December;152(6) > Giornale Italiano di Dermatologia e Venereologia 2017 December;152(6):615-37

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,311


eTOC

 

REVIEW  


Giornale Italiano di Dermatologia e Venereologia 2017 December;152(6):615-37

DOI: 10.23736/S0392-0488.17.05727-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Vasculopathies, cutaneous necrosis and emergency in dermatology

Constanza MARTINEZ-MERA 1 , Javier FRAGA 2, Tania M. CAPUSAN 1, Maria HERRERO-MOYANO 1, Almudena GODOY-TRAPERO 1, Yosmar GONZALES PEREZ 3, Mar LLAMAS-VELASCO 1

1 Department of Dermatology, de La Princesa University Hospital, Madrid, Spain; 2 Department of Pathology, de La Princesa University Hospital, Madrid, Spain; 3 Hospital Fundación Jimenez Diaz, Madrid, Spain


PDF  


Most emergencies in dermatology comprise a variety of entities with a usually benign course. However, vasculopathies and vasculitis are not common, but they could represent respectively 1.9% and 4.4% of these entities according to some studies of Emergency Dermatology Department. They become an important disease which has to be identified early to establish appropriate management and treatment. Some of them are well known, such as the leukocitoclastic vasculitis, Schölein-Henoch, panarteritis nodosa, antineutrophil cytoplasmic antibody associated vasculitis, giant cell arteritis, cryoglobulinemic vasculitis and antiphospholipid syndrome. More frequent vasculopathies are livedoid vasculopathy, pigmented purpuric dermatosis and calciphylaxis. Less common ones are caused by interferon and cholesterol crystal embolization. Others are very infrequent as Degos disease and Sneddon Syndrome. Among the more recently described ones there are deficiency of adenosine deaminase type 2 and crystalglobulinemia. The other group is composed of vasculopathies associated to microorganism as infective endocarditis, septic vasculopathy, aspergillosis, fusariosis, strongiloidosis, ecthyma gangrenosum, lucio phenomenon of leprosy and necrotic arachnidism. Finally, among these entities we can also find diseases associated with proinflammatory stages as disseminated intravascular coagulation, myeloproliferative disorders, intravascular lymphoma, metastasis intravascular. When we face cutaneous lesions characterized by reticulated violaceous lesions, palpable purpura or cutaneous necrosis, a careful clinico-pathological correlation as well as some laboratory or radiological tests are mandatory to further delineate a diagnosis and a proper first line empirical treatment.


KEY WORDS: Vascular diseases - Necrosis - Emergencies - Dermatology - Vasculitis

top of page

Publication History

Issue published online: October 18, 2017
Article first published online: July 28, 2017
Manuscript accepted: July 28, 2017
Manuscript received: July 8, 2017

Cite this article as

Martinez-Mera C, Fraga J, Capusan TM, Herrero-Moyano M, Godoy-Trapero A, Gonzales Perez Y, et al. Vasculopathies, cutaneous necrosis and emergency in Dermatology. G Ital Dermatol Venereol 2017;152:615-37. DOI: 10.23736/S0392-0488.17.05727-3

Corresponding author e-mail

C.martinezmera@gmail.com