Advances in the Diag. and Trtmt. of Vasculitis - download pdf or read online

By L. Amezcua-Guerra

ISBN-10: 9533077867

ISBN-13: 9789533077864

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25. Disorders with coexistent dermal small vessel vasculitis and subcutaneous arteritis or phlebitis. RP: relapsing polychondritis, CSS: Churg-Strauss syndrome, WG: Wegener’s granulomatosis, MPA: microscopic polyangiitis, UC:ulcerative colitis, BD: Behçet’s disease 48 Advances in the Diagnosis and Treatment of Vasculitis Fig. 26. (A) A unique histopathologic feature of erythema-nodosum-like lesions in Behçet’s disease is the coexistence of dermo-subcutaneous phlebitis (high magnification shown in (B)) and overlying dermal small vessel vasculitis (high magnification shown in (C)) coupled with the lobular neutrophilic panniculitis.

Both show widespread nodular erythema with livedo racemosa. Fig. 22. (C) Superficial thrombophlebitis in figure 22A and (D) Cutaneous polyarteritis nodosa in figure 22B Histopathology of Cutaneous Vasculitis 45 They are also histopathologically similar. Both show a subcutaneous muscular vessel lesion with a compact concentric vessel wall and perivascular panniculitis. Fig. 22. (E) Thrombophlebitis ( F) Cutaneous polyarteritis nodosa (elastic tissue stain) Discontinuous bundled muscular layers separated by the rich elastic fibers in (E) thrombophlebitis is very distinguishable from the scant elastic fibers in muscular vessel wall in (F) cutaneous polyarteritis nodosa.

E) Thrombophlebitis ( F) Cutaneous polyarteritis nodosa (elastic tissue stain) Discontinuous bundled muscular layers separated by the rich elastic fibers in (E) thrombophlebitis is very distinguishable from the scant elastic fibers in muscular vessel wall in (F) cutaneous polyarteritis nodosa. The intimal elastic fiber in thrombophlebitis (arrow, in E) may be misinterpreted as the authentic internal elastic lamina of an artery. However, the uneven thickness and partial multilayer figures are distinguishable from the even thickness of the authentic internal elastic lamina (arrow, in F).

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Advances in the Diag. and Trtmt. of Vasculitis by L. Amezcua-Guerra


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