However, the skin biopsy revealed
leukocytoclastic vasculitis and negative staining for Congo red and [kappa]-light chain, without IgA deposition.
We report the case of a 30-year-old man with visceral leishmaniasis (kala-azar) and
leukocytoclastic vasculitis. The patient improved symptomatically following treatment with amphotericin B.
In conclusion, our patient presented with a clinical picture of
leukocytoclastic vasculitis and necrotizing pneumonia, and a diagnosis of hydatid cyst disease of the lung was made.
Leukocytoclastic vasculitis with perivascular localization and polymorphonuclear leukocytes' accumulation in the dermis was detected in the biopsy specimen taken from the active lesion (Figure 1c).
HSP, also known as anaphylactoid purpura and immunoglobulin A (IgA) vasculitis, is a small-vessel
leukocytoclastic vasculitis characterized by the perivascular deposition of IgAl-based immune complexes in the walls of arterioles and postcapillary venules.
reported hypergammaglobulinemia in 50% of pSS patients with cutaneous purpura not associated with cryoglobulinemia, and the main histologic diagnosis of cutaneous vasculitis was
leukocytoclastic vasculitis.[4] Ramos-Casals et al .[16] also found that pSS patients with low C4 level had a higher incidence of cutaneous vasculitis.
Microscopic evaluation reveals
leukocytoclastic vasculitis. Perinuclear ANCA is more often positive than c-ANCA.
The differential diagnosis for venous stasis dermatitis includes cellulitis (which rarely presents bilaterally), deep vein thrombosis, asteatotic dermatitis, erysipelas (more superficial cellulitis that results in elevated, shiny plaques), pyomyositis, necrotizing fasciitis,
leukocytoclastic vasculitis, and allergic contact dermatitis.
Histological findings of papillary dermal edema, karyorrhexis, and the presence of neutrophils within the inflammatory infiltrate without evidence of
leukocytoclastic vasculitis supported Sweet's Syndrome.
Leukocytoclastic vasculitis and polyarteritis nodosa are most frequently associated with MDS [12].
Biopsy of the rash from his calf was positive for
leukocytoclastic vasculitis. Autoimmune workup was negative except for elevated C-reactive protein (CRP).