RECURRENT CUTANEOUS EOSINOPHILIC VASCULITIS

By Gary M. White, MD


Recurrent Cutaneous Eosinophilic Vasculitis (RCEV) is characterized by pruritic purpuric papules, annular urticarial plaques, and angioedema.

Clinical

Clinically, one sees pruritic purpuric papules, annular urticarial plaques, and angioedema. Necrosis may occur.

Differential Diagnosis

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.

Treatment

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.

References

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.

RegionalDerm

Homepage | FAQs | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.