By Gary M. White, MD
Recurrent Cutaneous Eosinophilic Vasculitis (RCEV) is characterized by pruritic purpuric papules, annular urticarial plaques, and angioedema.
Clinically, one sees pruritic purpuric papules, annular urticarial plaques, and angioedema. Necrosis may occur.
Other considerations include hypereosinophilic syndrome (peripheral blood eosinophilia persisting for more than 6 months plus systemic involvement), Churg–Strauss vasculitis (bronchial asthma, peripheral blood eosinophilia, granulomas histologically) and Well's syndrome.
Systemic steroids are very helpful, but unfortunately, the disease is chronic and alternative treatments are desirable. Systemic tacrolimus, indomethacin, and suplatast tosilate have been used.
A 45-year-old woman presented with intensely pruritic, persistent red raised lesions over forearms, legs, palms, and soles of 5 years duration. Fever and constitutional symptoms were absent. Indian J Dermatol 2016;61:235
Diagn Pathol. 2013; 8: 185.
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