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. 2008 Nov;9(4):212-5.

Necrotizing vasculitis as a complication of propylthiouracil

John C Stein  1 , Sergio Hernandez, Anke Hebig
Affiliations

Necrotizing vasculitis as a complication of propylthiouracil

John C Stein et al. West J Emerg Med. 2008 Nov.

Abstract

Background: Acute dermatologic conditions are a concern for acute care practitioners. Comprising 1.4% of presenting complaints to emergency departments, most skin complaints are relatively benign; however, some conditions can be quite severe. Prompt diagnosis is essential to avoid unnecessary morbidity and mortality.

Objectives: To review drug-induced vasculitis.

Case report: We present the case of a 43-year-old female with a chief complaint of bruising to her ear, arm, and leg. She was found to have necrotizing vasculitis induced by propylthiouracil.

Conclusion: In this case, we look at the highlights of this presentation and review key aspects of cutaneous vasculitis for the practicing emergency provider.

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Figures

Figure 1
Figure 1
Skin lesion at right pinna.
Figure 2
Figure 2
Skin lesion at right tricep.
Figure 3
Figure 3
Skin lesion at left lower calf.
See this image and copyright information in PMC

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