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Health Encylopedia

 
Allergic vasculitis
 
SubjectContents
Definition Hypersensitivity to a drug or foreign agent leads to a skin disorder with inflammation and damage to blood vessels of the skin.
Alternative Names Vasculitis; Vasculitis - allergic; Vasculitis - hypersensitivity
Causes, incidence, and risk factors Vasculitis occurs because of inflammation and damage to blood vessels. The inflammation of allergic vasculitis is the result of an allergic reaction to a drug or other foreign agent.
Symptoms
  • skin lesions
  • usually located on legs, buttocks, or trunk
  • palpable (able to be felt with the fingers)
  • purpura
  • multiple
  • papules (small, solid, raised skin areas)
  • purpura (
  • bleeding into the skin )
  • blisters
  • on the skin
  • urticaria
  • (
  • hives ), may last longer than 24 hours
  • necrotic
  • ulcers
  • (open sores with dead tissue)
  • Signs and tests The diagnosis is primarily based on a history of skin lesions that develop after exposure to medications or a foreign substance ( antigen ) and the clinical presentation (pattern of symptoms).
  • The
  • ESR ( sed rate ) may be elevated.
  • Skin biopsy
  • shows vasculitis (inflammation of the blood vessels).
  • This disease may also alter the results of a platelet aggregation test .
    Treatment Treatment is aimed at reducing the inflammation, allowing the natural healing process to occur. If possible, stop exposure to the causative medication (or other antigen ). Aspirin or corticosteroids may be prescribed to reduce inflammation of the blood vessels. (DO NOT give aspirin to children except as advised by the health care provider.) In severe cases, treatment with corticosteroids may be necessary.
    Support Groups 
    Expectations (prognosis) Allergic vasculitis usually resolves in time.
    Complications
  • permanent damage to the blood vessels or skin with scarring
  • vasculitis affecting the internal organs (kidney, bone, and so on)
  • Calling your health care provider Call for an appointment with your health care provider if symptoms indicate allergic vasculitis may be present.
    Prevention Avoid exposure to medications to which there are known allergies .
      

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