Macular lymphocytic arteritis: first clinical presentation with ulcers
Macular lymphocytic arteritis describes a recently reported entity, clinically characterized by asymptomatic hyperpigmented macules on the lower limbs, without association of systemic diseases. Histopathologically it is characterized by a lymphocytic arteritis with a hyalinized fibrin ring. We repor...
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Veröffentlicht in: | Journal of cutaneous pathology 2013-04, Vol.40 (4), p.424-427 |
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creator | Llamas‐Velasco, M. García‐Martín, P. Sánchez‐Pérez, J. Sotomayor, E. Fraga, J. García‐Diez, A. |
description | Macular lymphocytic arteritis describes a recently reported entity, clinically characterized by asymptomatic hyperpigmented macules on the lower limbs, without association of systemic diseases. Histopathologically it is characterized by a lymphocytic arteritis with a hyalinized fibrin ring. We report a new case presenting with ulceration, a finding not previously described. A 25‐year‐old Hispanic woman was evaluated for a 1‐year history of a gradually progressive, asymptomatic eruption that begins at level of both knees and progressively affects both legs and feet. She also referred recently appeared ulcers on inner right ankle without previous traumatism. Physical examination revealed multiple fairly well‐defined light brown and faint pink patches with petechiae on as well as retiform crusts and livedoid lesions on inner right ankle. Both types of lesions were biopsied showing lymphocytic arteritis with fibrinoid necrosis and thrombus. There were no relevant laboratory alterations. The clinical peculiarity of our case is the clinical image of the lesions mimicking a pigmented purpuric dermatosis and the presence of a non‐traumatic ulcer which could be explained because chronic lymphocytic damage may cause ischemic damage. Ulceration in our case supports consideration of macular arteritis as a latent form of cutaneous polyarteritis nodosa. |
doi_str_mv | 10.1111/cup.12094 |
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Histopathologically it is characterized by a lymphocytic arteritis with a hyalinized fibrin ring. We report a new case presenting with ulceration, a finding not previously described. A 25‐year‐old Hispanic woman was evaluated for a 1‐year history of a gradually progressive, asymptomatic eruption that begins at level of both knees and progressively affects both legs and feet. She also referred recently appeared ulcers on inner right ankle without previous traumatism. Physical examination revealed multiple fairly well‐defined light brown and faint pink patches with petechiae on as well as retiform crusts and livedoid lesions on inner right ankle. Both types of lesions were biopsied showing lymphocytic arteritis with fibrinoid necrosis and thrombus. There were no relevant laboratory alterations. The clinical peculiarity of our case is the clinical image of the lesions mimicking a pigmented purpuric dermatosis and the presence of a non‐traumatic ulcer which could be explained because chronic lymphocytic damage may cause ischemic damage. Ulceration in our case supports consideration of macular arteritis as a latent form of cutaneous polyarteritis nodosa.</description><identifier>ISSN: 0303-6987</identifier><identifier>EISSN: 1600-0560</identifier><identifier>DOI: 10.1111/cup.12094</identifier><identifier>PMID: 23384039</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Ankle ; Arteritis ; Arteritis - pathology ; Eruptions ; Female ; fibrin ; Humans ; Ischemia ; Leg ; Light effects ; Limbs ; Lymphocytes - pathology ; macular lyphocytic arteritis ; Mimicry ; Necrosis ; Pigmentation Disorders - pathology ; pigmented purpuric eruption ; Polyarteritis Nodosa - pathology ; Purpura ; Purpura - pathology ; Skin - blood supply ; Skin Diseases, Vascular - pathology ; skin ulcer ; Skin Ulcer - pathology ; Thrombosis ; Ulcers</subject><ispartof>Journal of cutaneous pathology, 2013-04, Vol.40 (4), p.424-427</ispartof><rights>2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd</rights><rights>2013 John Wiley & Sons A/S. 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Histopathologically it is characterized by a lymphocytic arteritis with a hyalinized fibrin ring. We report a new case presenting with ulceration, a finding not previously described. A 25‐year‐old Hispanic woman was evaluated for a 1‐year history of a gradually progressive, asymptomatic eruption that begins at level of both knees and progressively affects both legs and feet. She also referred recently appeared ulcers on inner right ankle without previous traumatism. Physical examination revealed multiple fairly well‐defined light brown and faint pink patches with petechiae on as well as retiform crusts and livedoid lesions on inner right ankle. Both types of lesions were biopsied showing lymphocytic arteritis with fibrinoid necrosis and thrombus. There were no relevant laboratory alterations. The clinical peculiarity of our case is the clinical image of the lesions mimicking a pigmented purpuric dermatosis and the presence of a non‐traumatic ulcer which could be explained because chronic lymphocytic damage may cause ischemic damage. Ulceration in our case supports consideration of macular arteritis as a latent form of cutaneous polyarteritis nodosa.</description><subject>Adult</subject><subject>Ankle</subject><subject>Arteritis</subject><subject>Arteritis - pathology</subject><subject>Eruptions</subject><subject>Female</subject><subject>fibrin</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Leg</subject><subject>Light effects</subject><subject>Limbs</subject><subject>Lymphocytes - pathology</subject><subject>macular lyphocytic arteritis</subject><subject>Mimicry</subject><subject>Necrosis</subject><subject>Pigmentation Disorders - pathology</subject><subject>pigmented purpuric eruption</subject><subject>Polyarteritis Nodosa - pathology</subject><subject>Purpura</subject><subject>Purpura - pathology</subject><subject>Skin - blood supply</subject><subject>Skin Diseases, Vascular - pathology</subject><subject>skin ulcer</subject><subject>Skin Ulcer - pathology</subject><subject>Thrombosis</subject><subject>Ulcers</subject><issn>0303-6987</issn><issn>1600-0560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0E9LwzAYx_EgipvTg29AetRDtydNkybeZDgVJnpw55I9TVkk_WPSMvburW56E8wllw9fHn6EXFKY0uHNsG-nNAGVHpExFQAxcAHHZAwMWCyUzEbkLIR3ACqk4KdklDAmU2BqTBbPGnunfeR2VbtpcNdZjLTvjLedDbdRaX3oInS2tqhd1HoTTN3pzjZ1tLXdJuodGh_OyUmpXTAXh39CVov7t_ljvHx5eJrfLWNkXKYxVwUgcqVVCWspUGYpGuRSpzIrk0KlirJCl5gUmRBZMvCErYXRBYcyS5CzCbned1vffPQmdHllAxrndG2aPuSUJZJTUPAfSiUoMZw10Js9Rd-E4E2Zt95W2u9yCvnXwvmwcP698GCvDtl-XZniV_5MOoDZHmytM7u_S_l89bpPfgLSL4Ut</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Llamas‐Velasco, M.</creator><creator>García‐Martín, P.</creator><creator>Sánchez‐Pérez, J.</creator><creator>Sotomayor, E.</creator><creator>Fraga, J.</creator><creator>García‐Diez, A.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>201304</creationdate><title>Macular lymphocytic arteritis: first clinical presentation with ulcers</title><author>Llamas‐Velasco, M. ; García‐Martín, P. ; Sánchez‐Pérez, J. ; Sotomayor, E. ; Fraga, J. ; García‐Diez, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3584-59d0cc59a9f0b86c874cec58a487f2d94913dafc2d7667259d23b6ead50f72c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Ankle</topic><topic>Arteritis</topic><topic>Arteritis - pathology</topic><topic>Eruptions</topic><topic>Female</topic><topic>fibrin</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Leg</topic><topic>Light effects</topic><topic>Limbs</topic><topic>Lymphocytes - pathology</topic><topic>macular lyphocytic arteritis</topic><topic>Mimicry</topic><topic>Necrosis</topic><topic>Pigmentation Disorders - pathology</topic><topic>pigmented purpuric eruption</topic><topic>Polyarteritis Nodosa - pathology</topic><topic>Purpura</topic><topic>Purpura - pathology</topic><topic>Skin - blood supply</topic><topic>Skin Diseases, Vascular - pathology</topic><topic>skin ulcer</topic><topic>Skin Ulcer - pathology</topic><topic>Thrombosis</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Llamas‐Velasco, M.</creatorcontrib><creatorcontrib>García‐Martín, P.</creatorcontrib><creatorcontrib>Sánchez‐Pérez, J.</creatorcontrib><creatorcontrib>Sotomayor, E.</creatorcontrib><creatorcontrib>Fraga, J.</creatorcontrib><creatorcontrib>García‐Diez, A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Journal of cutaneous pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Llamas‐Velasco, M.</au><au>García‐Martín, P.</au><au>Sánchez‐Pérez, J.</au><au>Sotomayor, E.</au><au>Fraga, J.</au><au>García‐Diez, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Macular lymphocytic arteritis: first clinical presentation with ulcers</atitle><jtitle>Journal of cutaneous pathology</jtitle><addtitle>J Cutan Pathol</addtitle><date>2013-04</date><risdate>2013</risdate><volume>40</volume><issue>4</issue><spage>424</spage><epage>427</epage><pages>424-427</pages><issn>0303-6987</issn><eissn>1600-0560</eissn><abstract>Macular lymphocytic arteritis describes a recently reported entity, clinically characterized by asymptomatic hyperpigmented macules on the lower limbs, without association of systemic diseases. Histopathologically it is characterized by a lymphocytic arteritis with a hyalinized fibrin ring. We report a new case presenting with ulceration, a finding not previously described. A 25‐year‐old Hispanic woman was evaluated for a 1‐year history of a gradually progressive, asymptomatic eruption that begins at level of both knees and progressively affects both legs and feet. She also referred recently appeared ulcers on inner right ankle without previous traumatism. Physical examination revealed multiple fairly well‐defined light brown and faint pink patches with petechiae on as well as retiform crusts and livedoid lesions on inner right ankle. Both types of lesions were biopsied showing lymphocytic arteritis with fibrinoid necrosis and thrombus. There were no relevant laboratory alterations. The clinical peculiarity of our case is the clinical image of the lesions mimicking a pigmented purpuric dermatosis and the presence of a non‐traumatic ulcer which could be explained because chronic lymphocytic damage may cause ischemic damage. Ulceration in our case supports consideration of macular arteritis as a latent form of cutaneous polyarteritis nodosa.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>23384039</pmid><doi>10.1111/cup.12094</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Ankle Arteritis Arteritis - pathology Eruptions Female fibrin Humans Ischemia Leg Light effects Limbs Lymphocytes - pathology macular lyphocytic arteritis Mimicry Necrosis Pigmentation Disorders - pathology pigmented purpuric eruption Polyarteritis Nodosa - pathology Purpura Purpura - pathology Skin - blood supply Skin Diseases, Vascular - pathology skin ulcer Skin Ulcer - pathology Thrombosis Ulcers |
title | Macular lymphocytic arteritis: first clinical presentation with ulcers |
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