アレルギー性血管炎。過敏性脈管炎、過敏性血管炎
WordNet
- pathological sensitivity
- extreme sensitivity
- inflammation of a blood vessel or lymph duct
PrepTutorEJDIC
- 過敏,過敏症
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/07/12 13:12:59」(JST)
[Wiki en表示]
Cutaneous small-vessel vasculitis (also known as "Cutaneous leukocytoclastic angiitis,"[1] "Cutaneous leukocytoclastic vasculitis,"[1] "Cutaneous necrotizing venulitis,"[1] and "Hypersensitivity angiitis"[1]) is inflammation of small blood vessels (usually post-capillary venules in the dermis), characterized by palpable purpura.[2]:831[3] It is the most common vasculitis seen in clinical practice. Leukocytoclasis refers to the damage caused by nuclear debris from infiltrating neutrophils in and around the vessels.[4]
Subtypes of small-vessel vasculitis include:[2]:833–6
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- Henoch-Schönlein purpura
- Acute hemorrhagic edema of infancy
- Urticarial vasculitis
- Cryoglobulinemic vasculitis
- Erythema elevatum diutinum
- Granuloma faciale
Leukocytoclastic vasculitis
See also
- Skin lesion
- List of cutaneous conditions
References
- ^ a b c d Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
- ^ a b James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
- ^ Lotti T, Ghersetich I, Comacchi C, Jorizzo JL (November 1998). "Cutaneous small-vessel vasculitis". J. Am. Acad. Dermatol. 39 (5 Pt 1): 667–87; quiz 688–90. doi:10.1016/S0190-9622(98)70039-8. PMID 9810883.
- ^ Harrison's Principles of Internal Medicine. 18th edition. Page 2798.
Cutaneous vasculitis and other vascular-related cutaneous conditions (L95, 709.1)
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Cutaneous vasculitis |
- Erythema elevatum diutinum
- Capillaritis
- Urticarial vasculitis
- Nodular vasculitis
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Microvascular occlusion |
- Calciphylaxis
- Cryoglobulinemic purpura/Cryoglobulinemic vasculitis
- vascular coagulopathy: Livedoid vasculitis
- Livedoid dermatitis
- Perinatal gangrene of the buttock
- Malignant atrophic papulosis
- Sneddon's syndrome
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Purpura |
- Nonthrombocytopenic purpura: Cryofibrinogenemic purpura
- Drug-induced purpura
- Food-induced purpura
- Henoch–Schönlein purpura
- Obstructive purpura
- Orthostatic purpura
- Purpura fulminans
- Purpura secondary to clotting disorders
- Purpuric agave dermatitis
- Pigmentary purpuric eruptions
- Solar purpura
- Traumatic purpura
- Waldenström hyperglobulinemic purpura
- Painful bruising syndrome
- ungrouped: Paroxysmal hand hematoma
- Postcardiotomy syndrome
- Deep vein thrombosis
- Superficial thrombophlebitis
- Mondor's disease
- Blueberry muffin baby
- Fibrinolysis syndrome
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Systemic vasculitis |
- see Template:Systemic vasculitis
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Vascular malformations |
- Arteriovenous malformation
- Bonnet–Dechaume–Blanc syndrome
- Cobb syndrome
- Parkes Weber syndrome
- Sinusoidal hemangioma
- lymphatic malformation
- Hennekam syndrome
- Aagenaes syndrome
- telangiectasia: Generalized essential telangiectasia
- Hereditary hemorrhagic telangiectasia
- Unilateral nevoid telangiectasia
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Ulcer |
- Venous ulcer
- Arterial insufficiency ulcer
- Hematopoietic ulcer
- Neuropathic ulcer
- Acroangiodermatitis
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Lymphedema |
- see Template:Lymphatic vessel disease
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Ungrouped
vascular-related
cutaneous conditions |
- Raynaud's phenomenon
- Thromboangiitis obliterans
- Erythromelalgia
- Septic thrombophlebitis
- Arteriosclerosis obliterans
- Bier spots/Marshall–White syndrome
- Cholesterol embolus
- Reactive angioendotheliomatosis
- Trousseau's syndrome
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Index of skin
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Description |
- Anatomy
- Physiology
- Development
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Disease |
- Infections
- Vesiculobullous
- Dermatitis and eczema
- Papulosquamous
- Urticaria and erythema
- Radiation-related
- Pigmentation
- Mucinoses
- Keratosis, ulcer, atrophy, and necrobiosis
- Vasculitis
- Fat
- Neutrophilic and eosinophilic
- Congenital
- Neoplasms and cancer
- nevi and melanomas
- epidermis
- dermis
- Symptoms and signs
- Terminology
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Treatment |
- Procedures
- Drugs
- antibiotics
- disinfectants
- emollients and protectives
- itch
- psoriasis
- other
- Wound and ulcer
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Systemic vasculitis (M30–M31, 446)
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Large vessel |
- Takayasu's arteritis
- Giant-cell arteritis
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Medium vessel |
- Type III hypersensitivity
- Kawasaki disease
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Small vessel |
Pauci-immune |
- c-ANCA
- Granulomatosis with polyangiitis
- p-ANCA
- Churg-Strauss syndrome
- Microscopic polyangiitis
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Type III hypersensitivity |
- Hypersensitivity vasculitis/Henoch–Schönlein purpura
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Ungrouped |
- Acute hemorrhagic edema of infancy
- Cryoglobulinemic vasculitis
- Bullous small vessel vasculitis
- Cutaneous small-vessel vasculitis
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Other |
- Goodpasture's syndrome
- Sneddon's syndrome
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Index of the circulatory system
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Description |
- Anatomy
- Arteries
- head and neck
- arms
- chest
- abdomen
- legs
- Veins
- head and neck
- arms
- chest
- abdomen and pelvis
- legs
- Development
- Cells
- Physiology
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Disease |
- Congenital
- Neoplasms and cancer
- Lymphatic vessels
- Injury
- Vasculitis
- Other
- Symptoms and signs
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Treatment |
- Procedures
- Drugs
- beta blockers
- channel blockers
- diuretics
- nonsympatholytic vasodilatory antihypertensives
- peripheral vasodilators
- renin–angiotensin system
- sympatholytic antihypertensives
- vasoprotectives
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Hypersensitivity and autoimmune diseases (279.5–6)
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Type I/allergy/atopy
(IgE) |
Foreign |
- Atopic eczema
- Allergic urticaria
- Allergic rhinitis (Hay fever)
- Allergic asthma
- Anaphylaxis
- Food allergy
- Milk
- Egg
- Peanut
- Tree nut
- Seafood
- Soy
- Wheat
- Penicillin allergy
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Autoimmune |
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Type II/ADCC
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Foreign |
- Hemolytic disease of the newborn
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Autoimmune |
Cytotoxic |
- Autoimmune hemolytic anemia
- Idiopathic thrombocytopenic purpura
- Bullous pemphigoid
- Pemphigus vulgaris
- Rheumatic fever
- Goodpasture's syndrome
- Guillain–Barré syndrome
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"Type V"/receptor |
- Graves' disease
- Myasthenia gravis
- Pernicious anemia
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Type III
(Immune complex) |
Foreign |
- Henoch–Schönlein purpura
- Hypersensitivity vasculitis
- Reactive arthritis
- Farmer's lung
- Post-streptococcal glomerulonephritis
- Serum sickness
- Arthus reaction
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Autoimmune |
- Systemic lupus erythematosus
- Subacute bacterial endocarditis
- Rheumatoid arthritis
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Type IV/cell-mediated
(T cells) |
Foreign |
- Allergic contact dermatitis
- Mantoux test
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Autoimmune |
- Diabetes mellitus type 1
- Hashimoto's thyroiditis
- Multiple sclerosis
- Coeliac disease
- Giant-cell arteritis
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GVHD |
- Transfusion-associated graft versus host disease
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Unknown/
multiple |
Foreign |
- Hypersensitivity pneumonitis
- Allergic bronchopulmonary aspergillosis
- Transplant rejection
- Latex allergy (I+IV)
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Autoimmune |
- Sjögren's syndrome
- Autoimmune hepatitis
- Autoimmune polyendocrine syndrome
- Autoimmune adrenalitis
- Systemic autoimmune disease
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Index of the immune system
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Description |
- Physiology
- cells
- autoantigens
- autoantibodies
- complement
- surface antigens
- IG receptors
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Disease |
- Allergies
- Immunodeficiency
- Immunoproliferative immunoglobulin disorders
- Hypersensitivity and autoimmune disorders
- Neoplasms and cancer
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Treatment |
- Procedures
- Drugs
- antihistamines
- immunostimulants
- immunosuppressants
- monoclonal antibodies
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UpToDate Contents
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English Journal
- The diagnosis and classification of Henoch-Schönlein purpura: An updated review.
- Yang YH1, Yu HH1, Chiang BL2.Author information 1Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.2Department of Medical Research, National Taiwan University Hospital, Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address: gicmbor@ntu.edu.tw.AbstractHenoch-Schönlein purpura (HSP) is a common childhood systemic vasculitis with clinical characteristics of cutaneous palpable purpura, arthralgia/arthritis, bowel angina, and hematuria/proteinuria. HSP is identified mainly based on the above presentations. Combined with pathohistological findings of leukocytoclastic vasculitis (LCV) and IgA-immune deposits in vessel walls and/or glomeruli increase the diagnostic sensitivity and specificity. However, considering the accessibility of biopsy and some patients with atypical presentations, there are still medical unmet needs in HSP diagnosis. This article reviews the diagnosis of HSP including the aspects of classification criteria, differential diagnosis, and some laboratory findings as the biomarkers with diagnostic potential.
- Autoimmunity reviews.Autoimmun Rev.2014 Jan 12. pii: S1568-9972(14)00043-3. doi: 10.1016/j.autrev.2014.01.031. [Epub ahead of print]
- Henoch-Schönlein purpura (HSP) is a common childhood systemic vasculitis with clinical characteristics of cutaneous palpable purpura, arthralgia/arthritis, bowel angina, and hematuria/proteinuria. HSP is identified mainly based on the above presentations. Combined with pathohistological findings of
- PMID 24424188
- Blocking von Willebrand factor for treatment of cutaneous inflammation.
- Hillgruber C1, Steingräber AK2, Pöppelmann B2, Denis CV3, Ware J4, Vestweber D5, Nieswandt B6, Schneider SW7, Goerge T1.Author information 11] Department of Dermatology, University Hospital of Münster, Münster, Germany [2] Interdisciplinary Center for Clinical Research (IZKF), University of Münster, Münster, Germany.2Department of Dermatology, University Hospital of Münster, Münster, Germany.3Inserm U770, Université Paris Sud, Paris, France.4Physiology and Biophysics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.5Department of Vascular Cell Biology, Max Planck Institute of Molecular Biomedicine, Münster, Germany.6Rudolf Virchow Center, University of Würzburg, Würzburg, Germany.7Department of Dermatology, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany.AbstractVon Willebrand factor (VWF), a key player in hemostasis, is increasingly recognized as a proinflammatory protein. Here, we found a massive accumulation of VWF in skin biopsies of patients suffering from immune complex (IC)-mediated vasculitis (ICV). To clarify the impact of VWF on cutaneous inflammation, we induced experimental ICV either in mice treated with VWF-blocking antibodies or in VWF(-/-) mice. Interference with VWF led to a significant inhibition of the cutaneous inflammatory response. We confirmed the major findings in irritative contact dermatitis, a second model of cutaneous inflammation. In vivo imaging of cutaneous inflammation in the dorsal skinfold chamber revealed unaffected leukocyte rolling on anti-VWF treatment. However, we identified that reduced leukocyte recruitment is accompanied by reduced vascular permeability. Although VWF-mediated neutrophil recruitment to the peritoneum was described to require the VWF receptor on platelets (glycoprotein Ibα (GPIbα)), the VWF/GPIbα axis was dispensable for cutaneous inflammation. As assessed in tail bleeding assays, we could exclude interference of VWF blockade with hemostasis. Of particular importance, anti-VWF treatment was effective both in prophylactic and therapeutic administration. Thus, VWF represents a promising target for the treatment of cutaneous inflammation, e.g., leukocytoclastic vasculitis.
- The Journal of investigative dermatology.J Invest Dermatol.2014 Jan;134(1):77-86. doi: 10.1038/jid.2013.292. Epub 2013 Jun 28.
- Von Willebrand factor (VWF), a key player in hemostasis, is increasingly recognized as a proinflammatory protein. Here, we found a massive accumulation of VWF in skin biopsies of patients suffering from immune complex (IC)-mediated vasculitis (ICV). To clarify the impact of VWF on cutaneous inflamma
- PMID 23812299
- Urticarial vasculitis in northern Spain: clinical study of 21 cases.
- Loricera J, Calvo-Río V, Mata C, Ortiz-Sanjuán F, González-López MA, Alvarez L, González-Vela MC, Armesto S, Fernández-Llaca H, Rueda-Gotor J, González-Gay MA, Blanco R.Author information From Divisions of Rheumatology (JL, VC-R, CM, FO-S, JR-G, MAG-G, RB), Dermatology (MAG-L, SA, HF-L), Pediatrics (LA), and Pathology (MCG-V), Hospital Universitario Marqués de Valdecilla, IFIMAV, Santander, Spain.AbstractUrticarial vasculitis (UV) is a subset of cutaneous vasculitis (CV), characterized clinically by urticarial skin lesions of more than 24 hours' duration and histologically by leukocytoclastic vasculitis. We assessed the frequency, clinical features, treatment, and outcome of a series of patients with UV. We conducted a retrospective study of patients with UV included in a large series of unselected patients with CV from a university hospital. Of 766 patients with CV, UV was diagnosed in 21 (2.7%; 9 male and 12 female patients; median age, 35 yr; range, 1-78 yr; interquartile range, 5-54 yr). Eight of the 21 cases were aged younger than 20 years old. Potential precipitating factors were upper respiratory tract infections and drugs (penicillin) (n = 4; in all cases in patients aged <20 yr), human immunodeficiency virus (HIV) infection (n = 1), and malignancy (n = 1). Besides urticarial lesions, other features such as palpable purpura (n = 7), arthralgia and/or arthritis (n = 13), abdominal pain (n = 2), nephropathy (n = 2), and peripheral neuropathy (n = 1) were observed. Hypocomplementemia (low C4) with low C1q was disclosed in 2 patients. Other abnormal laboratory findings were leukocytosis (n = 7), increased erythrocyte sedimentation rate (n = 6), anemia (n = 4), and antinuclear antibody positivity (n = 2). Treatment included corticosteroids (n = 12), antihistaminic drugs (n = 6), chloroquine (n = 4), nonsteroidal antiinflammatory drugs (n = 3), colchicine (n = 2), and azathioprine (n = 1). After a median follow-up of 10 months (interquartile range, 2-38 mo) recurrences were observed in 4 patients. Apart from 1 patient who died because of an underlying malignancy, the outcome was good with full recovery in the remaining patients. In conclusion, our results indicate that UV is rare but not exceptional. In children UV is often preceded by an upper respiratory tract infection. Urticarial lesions and joint manifestations are the most frequent clinical manifestation. Low complement serum levels are observed in a minority of cases. The prognosis is generally good, but depends on the underlying disease.
- Medicine.Medicine (Baltimore).2014 Jan;93(1):53-60. doi: 10.1097/MD.0000000000000013.
- Urticarial vasculitis (UV) is a subset of cutaneous vasculitis (CV), characterized clinically by urticarial skin lesions of more than 24 hours' duration and histologically by leukocytoclastic vasculitis. We assessed the frequency, clinical features, treatment, and outcome of a series of patients wit
- PMID 24378743
Japanese Journal
- Experimental granulomatous vasculitis induced by sensitization with Ascaris suum antigen in mice
- ALWIE Mappiasse Lallo,WAKAKI Kunihiko,KURASHIGE Yoichi,KOIZUMI Fumitomo
- Pathology international 45(12), 914-924, 1995-12-01
- NAID 10008332143
- 両下肢の激しいとう痛と壊死性皮膚症状を呈したChurg‐Strauss syndromeの1例
- 田中 康子,武藤 始,秋山 法久,荒井 康男,宮本 康文,佐野 靖之
- 日本胸部疾患学会雑誌 32(9), 873-877, 1994
- 症例は68歳女性, 気管支喘息のため治療中. 既往歴に薬剤アレルギーがある. 両下肢の疼痛, 腫脹, しびれ感を主訴に当院受診. 末梢血好酸球が53.5%と上昇しており, アレルギー性肉芽腫性血管炎と診断し入院, PSL 30mg/日投与を開始した. PSL投与翌日の皮膚生検像で壊死性血管炎と好酸球の extravasation, 蛍光抗体法でIgGが小血管壁に沈着していた. PSL約30mg/日 …
- NAID 130003678482
- 安部 行弘,戸部 和夫,薄元 亮二,友田 純,糸島 達也,長島 秀夫,三村 久,香川 晃一,林 肇輝,粟井 通泰
- 肝臓 28(1), 104-108, 1987
- 壊死性血管炎は感染症もその一因となる.最近我々は肝生検にて壊死性血管炎の像を認め,胆道感染症に随伴した過敏性血管炎の1例を経験したので報告する.症例は73歳,女性で,発熱・四肢のしびれ感を主訴に来院した.入院後種々の抗生物質投与にても解熱せず,腹部レ線でpneumobilia様陰影がみられ,ERCPで総胆管内に結石像を認めた.胆道感染を伴う総胆管結石の診断で胆石除去術を施行し,術中肝生検で壊死性血 …
- NAID 130000881118
Related Links
- Definition of hypersensitivity angiitis in the Medical Dictionary. hypersensitivity angiitis explanation. Information about hypersensitivity angiitis in Free online English dictionary. What is hypersensitivity angiitis? Meaning of forum ...
- hy·per·sen·si·tive (h p r-s n s-t v) adj. Highly or excessively sensitive. hy per·sen si·tive·ness, hy per·sen si·tiv i·ty (-t v-t) n. hypersensitivity extreme or abnormal sensitivity, as to criticism. — hypersensitive, adj. See also: Psychology
Related Pictures
★リンクテーブル★
[★]
- 英
- allergic vasculitis
- 同
- 過敏性血管炎 hypersensitivity vasculitis,過敏性脈管炎 hypersensitivity angiitis
- 関
- 血管炎
[★]
白血球破壊性血管炎
- 関
- hypersensitivity angiitis、hypersensitivity vasculitis、leukocytoclastic vasculitis
[★]
アレルギー