Urticaria Vasculítica | Revista Colombiana de Reumatología

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"apellidos" => "Ramírez" ] 1 => array:2 [ "nombre" => "Oswaldo" "apellidos" => "Lazala" ] 2 => array:2 [ "nombre" => "Federico" "apellidos" => "Rondón" ] 3 => array:2 [ "nombre" => "José Félix" "apellidos" => "Restrepo" ] 4 => array:2 [ "nombre" => "Antonio Iglesias" "apellidos" => "Gamarra" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0121812309701136?idApp=UINPBA00004N" "url" => "/01218123/0000001600000002/v1_201309040054/S0121812309701136/v1_201309040054/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Urticaria Vasculítica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "154" "paginaFinal" => "166" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Ana María Rivas González, Carlos Jaime Velásquez Franco, Luis Fernando Pinto Peñaranda, Javier Darío Márquez" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Ana María" "apellidos" => "Rivas González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "1" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Carlos Jaime" "apellidos" => "Velásquez Franco" "email" => array:1 [ 0 => "anirivas@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "2" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Luis Fernando" "apellidos" => "Pinto Peñaranda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "2" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Javier Darío" "apellidos" => "Márquez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "2" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "RII Dermatología, Universidad Pontificia Bolivariana. Medellín, Colombia" "etiqueta" => "1" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Docente, Profesor de Reumatología, Universidad Pontificia Bolivariana. Internista Reumatólogo HPTU. Hospital Pablo Tobón Uribe, Medellín, Colombia" "etiqueta" => "2" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Urticarial Vasculitis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-04-15" "fechaAceptado" => "2009-06-16" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec255264" "palabras" => array:3 [ 0 => "urticaria" 1 => "vasculitis" 2 => "lupus eritematoso sistémico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec255263" "palabras" => array:3 [ 0 => "urticaria" 1 => "vasculitis" 2 => "lupus erythematosus systemic" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "La urticaria vasculítica (UV) es una entidad clinicopatológica caracterizada por episodios recurrentes de urticaria y vasculitis leucocitoclástica en la histopatología. Una minoría de pacientes con urticaria crónica tiene urticaria vasculítica (aproximadamente un 5%). Aunque la definición de vasculitis ha cambiado de un estudio a otro, en este artículo nos adherimos a los autores que consideran que la leucocitoclasia y los depósitos de fibrina son indispensables para definir la entidad. Clásicamente la UV se manifiesta con habones eritematosos recurrentes por más de cuatro a seis semanas, que duran más de 24 horas y desaparecen dejando hiperpigmentación residual. Como las características de la urticaria vasculítica pueden sobreponerse con las de la urticaria común, su diagnóstico siempre debe apoyarse en un estudio histopatológico. Según los niveles de complemento esta entidad puede subdividirse en urticaria vasculítica normocomplementémica e hipocomplementémica. Una minoría de pacientes con urticaria vasculítica hipocomplementémica cumple con criterios diagnósticos de síndrome de urticaria vasculítica hipocomplementémica. Aquellos pacientes con hipocomplementemia tienen mayor riesgo de desarrollar compromiso multiorgánico y frecuentemente desarrollan lupus eritematoso sistémico (LES) durante el seguimiento, especialmente los que cursan con anticuerpos anti-C1q." ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "Urticarial vasculitis is a clinic-pathologic entity typified by recurrent episodes of urticaria that have the histopathologic features of leukocytoclastic vasculitis. Only a minority of patients with chronic urticarial lesions have urticarial vasculitis (approximately 5%). Even though the definition of vasculitis has varied, in this article, we adhere to the concept that leukocytoclasis and fibrinoid deposits are the most important features to define this entity. Classically, urticarial vasculitis manifest with recurrent erythematosus wheals that last for more than 4–6 weeks, the individual lesions persist more than 24 hours and leave residual hyperpigmentation. Because clinical characteristics of urticarial vasculitis may overlap with those of common urticaria, confirmation of the diagnosis requires a lesional skin biopsy. Urticarial vasculitis can be classified as normocomplementemic or hypocomplementemic depending on seric complement levels. Only a minority of patients with hypocomplementemic urticarial vasculitis fulfill diagnostic criteria for hypocomplementemic urticarial vasculitis syndrome. Hypocomplementemic patients have the propensity to have more severe multi-organ involvement and frequently develop systemic lupus erythematous when they are followed in time, in special when they have anti-C1q antibodies." ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:87 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Estadísticas

Urticaria Vasculítica

Urticarial Vasculitis

Ana María Rivas González1, Carlos Jaime Velásquez Franco2, Luis Fernando Pinto Peñaranda2, Javier Darío Márquez2

1 RII Dermatología, Universidad Pontificia Bolivariana. Medellín, Colombia

2 Docente, Profesor de Reumatología, Universidad Pontificia Bolivariana. Internista Reumatólogo HPTU. Hospital Pablo Tobón Uribe, Medellín, Colombia

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            1 => "vasculitis"
            2 => "lupus eritematoso sist&#233;mico"
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            2 => "lupus erythematosus systemic"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La urticaria vascul&#237;tica &#40;UV&#41; es una entidad clinicopatol&#243;gica caracterizada por episodios recurrentes de urticaria y vasculitis leucocitocl&#225;stica en la histopatolog&#237;a&#46; Una minor&#237;a de pacientes con urticaria cr&#243;nica tiene urticaria vascul&#237;tica &#40;aproximadamente un 5&#37;&#41;&#46; Aunque la definici&#243;n de vasculitis ha cambiado de un estudio a otro&#44; en este art&#237;culo nos adherimos a los autores que consideran que la leucocitoclasia y los dep&#243;sitos de fibrina son indispensables para definir la entidad&#46; Cl&#225;sicamente la UV se manifiesta con habones eritematosos recurrentes por m&#225;s de cuatro a seis semanas&#44; que duran m&#225;s de 24 horas y desaparecen dejando hiperpigmentaci&#243;n residual&#46; Como las caracter&#237;sticas de la urticaria vascul&#237;tica pueden sobreponerse con las de la urticaria com&#250;n&#44; su diagn&#243;stico siempre debe apoyarse en un estudio histopatol&#243;gico&#46; Seg&#250;n los niveles de complemento esta entidad puede subdividirse en urticaria vascul&#237;tica normocomplement&#233;mica e hipocomplement&#233;mica&#46; Una minor&#237;a de pacientes con urticaria vascul&#237;tica hipocomplement&#233;mica cumple con criterios diagn&#243;sticos de s&#237;ndrome de urticaria vascul&#237;tica hipocomplement&#233;mica&#46; Aquellos pacientes con hipocomplementemia tienen mayor riesgo de desarrollar compromiso multiorg&#225;nico y frecuentemente desarrollan lupus eritematoso sist&#233;mico &#40;LES&#41; durante el seguimiento&#44; especialmente los que cursan con anticuerpos anti-C1q&#46;</p>"
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      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Urticarial vasculitis is a clinic-pathologic entity typified by recurrent episodes of urticaria that have the histopathologic features of leukocytoclastic vasculitis&#46; Only a minority of patients with chronic urticarial lesions have urticarial vasculitis &#40;approximately 5&#37;&#41;&#46; Even though the definition of vasculitis has varied&#44; in this article&#44; we adhere to the concept that leukocytoclasis and fibrinoid deposits are the most important features to define this entity&#46; Classically&#44; urticarial vasculitis manifest with recurrent erythematosus wheals that last for more than 4&#8211;6 weeks&#44; the individual lesions persist more than 24 hours and leave residual hyperpigmentation&#46; Because clinical characteristics of urticarial vasculitis may overlap with those of common urticaria&#44; confirmation of the diagnosis requires a lesional skin biopsy&#46; Urticarial vasculitis can be classified as normocomplementemic or hypocomplementemic depending on seric complement levels&#46; Only a minority of patients with hypocomplementemic urticarial vasculitis fulfill diagnostic criteria for hypocomplementemic urticarial vasculitis syndrome&#46; Hypocomplementemic patients have the propensity to have more severe multi-organ involvement and frequently develop systemic lupus erythematous when they are followed in time&#44; in special when they have anti-C1q antibodies&#46;</p>"
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Información del artículo

ISSN: 01218123
Idioma original: Español

DOI:10.1016/S0121-8123(09)70114-8

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