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Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris

We present the case of a 64-year-old woman who has suffered from pustulosis palmaris et plantaris for 10 years. At the first examination, many erythematous lesions with purpura, blood crusts, and blisters were present in the lower legs and dorsum of the feet. Painful swelling in the sternal region a...

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Autores principales: Kosaka, Motoko, Kato, Tokue, Kawana, Seiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339713/
https://www.ncbi.nlm.nih.gov/pubmed/22548039
http://dx.doi.org/10.1159/000337636
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author Kosaka, Motoko
Kato, Tokue
Kawana, Seiji
author_facet Kosaka, Motoko
Kato, Tokue
Kawana, Seiji
author_sort Kosaka, Motoko
collection PubMed
description We present the case of a 64-year-old woman who has suffered from pustulosis palmaris et plantaris for 10 years. At the first examination, many erythematous lesions with purpura, blood crusts, and blisters were present in the lower legs and dorsum of the feet. Painful swelling in the sternal region and dorsal pain were also noted. Elevation of the CRP and myogenic enzyme levels, and liver and renal dysfunctions were noted on blood testing. Histopathologically, leukocytoclastic vasculitis was noted in small blood vessels in the whole dermal layers, and deposition of IgM and C3 in the vascular wall was detected by the direct immunofluorescence techniques. Based on these findings, cutaneous small vessel vasculitis was diagnosed. Because the patient complained of a toothache during the clinical course, an X-ray examination was performed. On pantomography, a radicular cyst and apical periodontitis were noted. The tooth symptoms changed with exacerbation and remission of the skin symptoms. These findings indicate that odontogenic infection is very likely to be a cause of cutaneous small vessel vasculitis in a manner similar to pustulosis palmaris et plantaris.
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spelling pubmed-33397132012-04-30 Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris Kosaka, Motoko Kato, Tokue Kawana, Seiji Case Rep Dermatol Published: March, 2012 We present the case of a 64-year-old woman who has suffered from pustulosis palmaris et plantaris for 10 years. At the first examination, many erythematous lesions with purpura, blood crusts, and blisters were present in the lower legs and dorsum of the feet. Painful swelling in the sternal region and dorsal pain were also noted. Elevation of the CRP and myogenic enzyme levels, and liver and renal dysfunctions were noted on blood testing. Histopathologically, leukocytoclastic vasculitis was noted in small blood vessels in the whole dermal layers, and deposition of IgM and C3 in the vascular wall was detected by the direct immunofluorescence techniques. Based on these findings, cutaneous small vessel vasculitis was diagnosed. Because the patient complained of a toothache during the clinical course, an X-ray examination was performed. On pantomography, a radicular cyst and apical periodontitis were noted. The tooth symptoms changed with exacerbation and remission of the skin symptoms. These findings indicate that odontogenic infection is very likely to be a cause of cutaneous small vessel vasculitis in a manner similar to pustulosis palmaris et plantaris. S. Karger AG 2012-03-23 /pmc/articles/PMC3339713/ /pubmed/22548039 http://dx.doi.org/10.1159/000337636 Text en Copyright © 2012 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: March, 2012
Kosaka, Motoko
Kato, Tokue
Kawana, Seiji
Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris
title Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris
title_full Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris
title_fullStr Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris
title_full_unstemmed Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris
title_short Cutaneous Small Vessel Vasculitis Accompanied by Pustulosis Palmaris et Plantaris
title_sort cutaneous small vessel vasculitis accompanied by pustulosis palmaris et plantaris
topic Published: March, 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339713/
https://www.ncbi.nlm.nih.gov/pubmed/22548039
http://dx.doi.org/10.1159/000337636
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