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Case Reports
. 2013 Mar 15:2013:bcr2013008806.
doi: 10.1136/bcr-2013-008806.

Pustular vasculitis

Shilpa Selvan  1 , Rebecca Shakir, Antoni Chan
Affiliations
Case Reports

Pustular vasculitis

Shilpa Selvan et al. BMJ Case Rep. .

Abstract

We present a rare case of pustular vasculitis secondary to streptococcal infection. The majority of cases described in the literature predominantly involve the dorsal hands, and may subsequently spread to involve the lower limbs. However, our case demonstrates a rare case where primary involvement of the lower limbs was present with secondary involvement at the dorsum of the hands. The patient responded well to intravenous methylprednisolone reflected both clinically and by his acute phase response.

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Figures

Figure 1
Figure 1
Widespread pustular rash over lower limbs.
Figure 2
Figure 2
Skin punch biopsy at high power (×200) showing a dense dermal infiltrate of neutrophil polymorphs. Also a vessel is evident showing perivascular fibrin deposition and damage to its wall signifying vasculitis.
Figure 3
Figure 3
Partial resolution of pustular rash over lower limbs.
See this image and copyright information in PMC

References

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