Shavit Eran, Alavi Afsaneh, Sibbald R Gary
1 Women's College Hospital, Toronto, Ontario, Canada.
2 University of Toronto, Toronto, Ontario, Canada.
Int J Low Extrem Wounds. 2018 Dec;17(4):218-226. doi: 10.1177/1534734618804982. Epub 2018 Dec 3.
Cutaneous and other vasculitides are specific inflammations of the blood vessel wall that can take place in any organ system of the body including the skin. Vasculitis has been traditionally divided according to the size of the vessel involved (small, medium, and large). Vasculitis is more of a reaction pattern rather than a specific disease entity. Therefore, the clinical presentation of vasculitis (most commonly palpable purpura on the lower extremities) dictates a thorough history, review of systems, and a meticulous physical examination. The diagnosis of vasculitis relies also on the histopathological and immunofluorescence studies. Wound care specialist may face with vasculitis-associated ulcers along with a spectrum of other cutaneous presentations associated with vasculitis. The focus of this article is to update the types, etiology, pathogenesis, and management options for cutaneous vasculitis.
皮肤血管炎及其他血管炎是血管壁的特异性炎症,可发生于包括皮肤在内的身体任何器官系统。传统上,血管炎是根据受累血管的大小(小、中、大)进行分类的。血管炎更多的是一种反应模式,而非特定的疾病实体。因此,血管炎的临床表现(最常见的是下肢可触及的紫癜)需要详细的病史、系统回顾以及细致的体格检查。血管炎的诊断还依赖于组织病理学和免疫荧光研究。伤口护理专家可能会遇到与血管炎相关的溃疡以及一系列与血管炎相关的其他皮肤表现。本文的重点是更新皮肤血管炎的类型、病因、发病机制及治疗选择。