array:23 [ "pii" => "S2387020623001006" "issn" => "23870206" "doi" => "10.1016/j.medcle.2023.03.002" "estado" => "S300" "fechaPublicacion" => "2023-04-06" "aid" => "6116" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2023;160:326" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775322005620" "issn" => "00257753" "doi" => "10.1016/j.medcli.2022.11.002" "estado" => "S300" "fechaPublicacion" => "2023-04-06" "aid" => "6116" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2023;160:326" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Vasculitis cutánea" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "326" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cutaneous Vasculitis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 891 "Ancho" => 1005 "Tamanyo" => 84651 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Andreo Galera, Fernando Lidón Pérez, Selene Falcón Vega, Félix Gutiérrez Rodero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "María" "apellidos" => "Andreo Galera" ] 1 => array:2 [ "nombre" => "Fernando" "apellidos" => "Lidón Pérez" ] 2 => array:2 [ "nombre" => "Selene" "apellidos" => "Falcón Vega" ] 3 => array:2 [ "nombre" => "Félix" "apellidos" => "Gutiérrez Rodero" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020623001006" "doi" => "10.1016/j.medcle.2023.03.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623001006?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775322005620?idApp=UINPBA00004N" "url" => "/00257753/0000016000000007/v1_202303211028/S0025775322005620/v1_202303211028/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2387020623000396" "issn" => "23870206" "doi" => "10.1016/j.medcle.2022.10.011" "estado" => "S300" "fechaPublicacion" => "2023-04-06" "aid" => "6129" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2023;160:324-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Atypical presentation of infective endocarditis due to <span class="elsevierStyleItalic">Granulicatella adiacens</span>" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "324" "paginaFinal" => "325" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Presentación atípica de endocarditis infecciosa por <span class="elsevierStyleItalic">Granulicatella adiacens</span>" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Padilla Bautista, Marcos Farrais Villalba, Marcelino Hayek Peraza" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María" "apellidos" => "Padilla Bautista" ] 1 => array:2 [ "nombre" => "Marcos" "apellidos" => "Farrais Villalba" ] 2 => array:2 [ "nombre" => "Marcelino" "apellidos" => "Hayek Peraza" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775322005899" "doi" => "10.1016/j.medcli.2022.11.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775322005899?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623000396?idApp=UINPBA00004N" "url" => "/23870206/0000016000000007/v1_202304111558/S2387020623000396/v1_202304111558/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Cutaneous vasculitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "326" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Andreo Galera, Fernando Lidón Pérez, Selene Falcón Vega, Félix Gutiérrez Rodero" "autores" => array:4 [ 0 => array:4 [ "nombre" => "María" "apellidos" => "Andreo Galera" "email" => array:1 [ 0 => "maryaa.andreo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Fernando" "apellidos" => "Lidón Pérez" ] 2 => array:2 [ "nombre" => "Selene" "apellidos" => "Falcón Vega" ] 3 => array:2 [ "nombre" => "Félix" "apellidos" => "Gutiérrez Rodero" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio Medicina Interna, Hospital General Universitario de Elche, Elche, Alicante, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Vasculitis cutánea" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 891 "Ancho" => 1005 "Tamanyo" => 84651 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 36-year-old man presented with a week’s history of pruritic purpuric lesions starting on the buttocks and progressing to the rest of the lower limbs, trunk and upper limbs, associated with arthralgias in the knees and ankles, and later abdominal pain. No other associated symptoms. Noteworthy is the use of non-steroidal anti-inflammatory drugs the week prior to the episode due to catarrhal symptoms. Physical examination revealed slightly raised purpuric exanthematous lesions, palpable on the lower limbs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), trunk and upper limbs. The workup revealed elevated CRP and ESR, negative serology for infectious causes with autoimmunity study, normal ANCA, cryoglobulins and immunoglobulins. A skin biopsy of the lesions was performed with histopathological findings consistent with leukocytoclastic vasculitis. After starting corticosteroid treatment with progressive decrease, the patient experienced a significant clinical improvement, normalization of inflammatory markers and resolution of the lesions. Leukocytoclastic vasculitis is manifested by palpable purpura, sometimes associated with joint, gastrointestinal and renal involvement. A precipitating factor is the intake of drugs or infections. Skin biopsy with immunofluorescence study is essential in the first hours, highlighting histological findings of perivascular neutrophils and leukocytoclasis. Treatment is variable, ranging from elimination of the causative antigen to rest, corticosteroids and even immunosuppressants.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">There is no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 891 "Ancho" => 1005 "Tamanyo" => 84651 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016000000007/v1_202304111558/S2387020623001006/v1_202304111558/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016000000007/v1_202304111558/S2387020623001006/v1_202304111558/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623001006?idApp=UINPBA00004N" ]
Journal Information
Vol. 160. Issue 7.
Pages 326 (April 2023)
Share
Download PDF
More article options
Vol. 160. Issue 7.
Pages 326 (April 2023)
Image in medicine
Cutaneous vasculitis
Vasculitis cutánea
María Andreo Galera
, Fernando Lidón Pérez, Selene Falcón Vega, Félix Gutiérrez Rodero
Corresponding author
Servicio Medicina Interna, Hospital General Universitario de Elche, Elche, Alicante, Spain
Article information
These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail