Vasculitis Involving the Skin - Differential Diagnosis Framework
Primary: 50% Cutaneous Vasculitis: Leukocytoclastic Vasculitis
Secondary: CTD: SLE, RA related vasculitis, infections, drug eruptions, paraneoplastic
Vasculitis Skin Findings:
• Small Vessel: Petechiae, Palpable purpura, Hemorrhagic bullae, Ulceration, Urticaria
• Medium Vessel: Subcutaneous nodules, Deep ulcers, Livedo reticularis, Livedo racemosa, Digital ulceration
Small Vessel Vasculitis:
• Immune Complex Vasculitis:
- Ig A (HSP)
- Anti-C1q (Urticarial/LCV)
- Cryoglobulinemic Vasculitis
• ANCA Associated:
- Microscopic polyangiitis
- EGPA
- GPA
Cutaneous Single Organ Vasculitis:
• Leukocytoclastic vasculitis with IgG/IgM deposits
• Nodular cutaneous vasculitis
• Erythema elevatum diutinum
Medium Vessel Vasculitis:
• Cutaneous polyarteritis nodosa
• Polyarteritis nodosa
Large Vessel Vasculitis:
• Temporal arteritis
• Takayasu's arteritis
Variable Vessel Vasculitis:
• Behcet Disease
• Cogan syndrome
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