Document Detail


Spectrum of cutaneous vasculitis in adult patients from the Farwaniya region of Kuwait.
MedLine Citation:
PMID:  18059100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the clinical profile, etiologic factors, disease associations, and the laboratory profile of adult patients with cutaneous leukocytoclastic vasculitis (LV) presenting to the Dermatology Department at Farwaniya Hospital, Kuwait. SUBJECTS AND METHODS: The medical records of 57 adult patients (>18 years) with biopsy-proven cutaneous LV from January 2004 to June 2006 at Farwaniya Hospital were reviewed. RESULTS: Of the 57 patients studied, 21 (36.8%) were classified as having primary cutaneous small vessel vasculitis. The most common type of skin lesions found was palpable purpura seen in 29 (50.9%) patients. No possible cause for the cutaneous vasculitis could be identified in 21 patients. Extracutaneous involvement was seen in 32 (56.1%) patients of which 29 had joint involvement. The most frequent laboratory abnormality was an elevated erythrocyte sedimentation rate (ESR). Altered laboratory evaluation in the form of leukocytosis, raised antistreptolysin O titers and urine abnormalities were found in association with systemic vasculitis. IgA deposits were present in 33 patients. Risk factors for chronicity of cutaneous LV were female sex, advanced age, unidentified etiology, absence of fever and presence of joint involvement. CONCLUSION: The commonest type of LV in Kuwait is primary cutaneous small vessel vasculitis. The most frequent laboratory abnormality associated with LV was increased ESR.
Authors:
Nawaf Al-Mutairi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical principles and practice : international journal of the Kuwait University, Health Science Centre     Volume:  17     ISSN:  1423-0151     ISO Abbreviation:  Med Princ Pract     Publication Date:  2008  
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-02-05     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8901334     Medline TA:  Med Princ Pract     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  43-8     Citation Subset:  IM    
Copyright Information:
(c) 2007 S. Karger AG, Basel.
Affiliation:
Department of Dermatology, Farwaniya Hospital, Kuwait. nalmut@usa.net
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Causality
Comorbidity
Connective Tissue Diseases / epidemiology
Female
Humans
Joint Diseases / epidemiology
Kuwait / epidemiology
Male
Middle Aged
Purpura / epidemiology
Retrospective Studies
Vasculitis, Leukocytoclastic, Cutaneous / diagnosis,  epidemiology*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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