Vasculite cutânea de pequenos vasos: etiologia, patogênese, classificação e critérios diagnósticos - Parte I

Brandt, Hebert Roberto Clivati; Arnone, Marcelo; Valente, Neusa Yuriko Sakai; Criado, Paulo Ricardo; Sotto, Mírian Nacagami

doi:10.1590/s0365-05962007000500002

Cited by 18 publications

(17 citation statements)

References 127 publications

(184 reference statements)

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“…According to Brandt et al [22], the purpura can be preceded, for a period va- Brandt et al [22], further states that rashes may precede typical cutaneous manifestations, characterized by symmetrical hemorrhagic petechiae or palpable purpura in the limbs and gluteal region, sparing the trunk in general. The lesions reported in the present case presented as maculopapular, erythematous, nonpruritic or scaly lesions, purpuric and located below the waist line.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Vasculitis with Renal Impairment in Octogenarian

Miguel¹,

Miguel²,

Miguel³

et al. 2017

JBM

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Henoch-Schönlein purpura is a vasculitis of small vessels, characterized by tissue deposition of IgA, affecting predominantly the skin, intestine, joints and kidneys. It mainly affects the pediatric age group, especially from 2 to 11 years old. Most often, it is preceded by episode of upper airway infection from days to weeks. The most common clinical manifestations are purpuric cutaneous lesions located in the lower limbs and buttocks, abdominal pain in colic, nausea, vomiting, diarrhea, in addition to arthralgia/arthritis, usually with spontaneous resolution. Renal impairment usually manifests with hematuria and proteinuria, and renal function may also be impaired. The case described refers to a female patient, 86 years old, with a previous history of infection of the upper airways, followed by purpura in the lower limbs and renal impairment: serum creatinine 3.1 mg/dL (N 0.5 -1.2 mg/dL); glomerular filtration rate 15 ml/min (N > 60 ml/min); urea 118 mg/dL (N < 40 g/dL); proteinuria 4.497 mg/24h. The present report aims to draw attention to the occurrence of Henoch-Schönlein purpura in an atypical age group, with significant renal impairment, improvement only with conservative treatment, thus avoiding the use of immunosuppressants and the risks of immunosuppression and toxicity related to such drugs.

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Section: Discussionmentioning

confidence: 99%

Cutaneous Vasculitis with Renal Impairment in Octogenarian

Miguel¹,

Miguel²,

Miguel³

et al. 2017

JBM

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“…Such factors hamper the adequate arrival of nutrients at these veins with alterations mainly associated to increased venous pressure and exudation of liquids leading to edema [46][47][48][49][50] .…”

Section: Discussionmentioning

confidence: 99%

The relationship of food, water intake and esthetic changes during pregnancy

Menna¹,

Cunha²,

Azevedo³

2014

Mundo Saúde

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The most notable esthetic alterations observed during pregnancy occur to the skin, with an increase in thickness due to edema. It is believed that these problems are triggered and/or aggravated due to the small intake of some food items. The objective of this study was to evaluate the relationship of food consumption, water intake and the appearance of cutaneous and vascular alterations in pregnant women. Pregnant women participating in health programs in the municipality of Santos were enrolled, and answered questionnaires to verify healthy practices and attitudes, water intake and esthetic problems -cellulitis, striae, periorbital dark circles and varicose veins. To evaluate food consumption, a food frequency questionnaire (FFQ) adjusted for the study purpose was used. The sample was grouped in tertiles for food consumption and water intake related to each esthetic problem for performance of logistic regression models. 105 pregnant women at the mean age of 24.4 years participated in the study. The relationship between the consumption of food items which are source of protein, vitamin C and calcium were found as protective factors for striae (OR 0.62) in the tertile of highest consumption, as well as water intake for tertiles 2 (OR 0.62) and 3 (OR 0.61). As for varicose veins, cellulitis and periorbital dark circles this relationship was not statistically significant. It was observed that diets rich in protein, vitamin C, calcium and water intake (more than four glasses per day) was a protective factor against the appearance of striae in pregnant women.Keywords: Food Habits. Esthetics. Pregnancy. Skin. ResumoAs mais notavéis alterações estéticas durante a gestação ocorrem na pele com aumento da espessura em virtude do edema. Acredita-se que esses problemas podem ser engatilhados e/ou agravados devido à ingestão reduzida de certos alimentos.O objetivo do estudo foi avaliar a relação entre o consumo alimentar, ingestão hídrica e o aparecimento de alterações estéticas cutâneas e vasculares em gestantes. Participaram gestantes inseridas em programas de saúde municipal -Santos-SP, que responderam a questionários para verificar práticas e atitudes saudáveis, ingestão hídrica e problemas estéticos -celulite, estria, olheiras e varizes. Para avaliar o consumo alimentar foi utilizado questionário de frequência alimentar (QFA) ajustado para o propósito do estudo. A amostra foi agrupada em tercis de consumo alimentar e ingestão hídrica relacionados com cada problema estético para realização de modelos de regressão logística. Participaram 105 gestantes com média de idade de 24,4 anos. A relação do consumo de alimentos fonte de nutrientes funcionais com proteção aos problemas estéticos avaliados foram encontrados com valores significantes para estrias (OR 0,62) no tercil de maior consumo, assim como ingestão hídrica para os tercis 2 (OR 0,62) e 3 (OR 0,61) ajustadas por índice de massa corporal, idade, prática de atividade física e uso de protetor solar. Para varizes, celulite e olheiras essa relação apresentou valo...

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“…Na maioria dos casos a vasculite leucocitoclástica é limitada à pele, mas alguns pacientes têm lesões vasculares sistémicas, principalmente com atingimento renal, muscular, articular, do trato gastrointestinal e dos nervos periféricos 1,2 . Na generalidade, o tratamento da vasculite deve ser dirigido ao processo patológico subjacente, sempre que possível.…”

Section: Galicia Clínica | Sociedade Galega De Medicina Internaunclassified

“…Afecta principalmente a pele, mas o envolvimento sistémico pode ocorrer em cerca de 50% dos casos, com atingimento renal, articular, pulmonar, muscular, cardíaco, gastrintestinal e dos nervos periféricos 1,2 . Quanto à etiologia, esta entidade pode ser idiopática ou estar relacionada com o uso de medicamentos, infecções e neoplasias, podendo ser também uma manifestação de algumas colagenoses 3 .…”

Section: Introductionunclassified

Vasculite leucocitoclástica e infecção crónica por Hepatite B

Pires¹,

Sousa²,

Montez³

et al. 2014

Gal. Clin.

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ResumoOs autores apresentam o caso clínico de uma doente de 79 anos, internada para estudo de uma vasculite, cuja investigação etiológica nos levou a ponderar a associação com hepatite B crónica. A vasculite leucocitoclás-tica pode ter variadas etiologias. A associação com hepatite vírica é mais frequente com a hepatite C, havendo no entanto alguns casos relatados sobre a associação à hepatite B. A etiologia vírica tem de ser sempre considerada nestas situações, pois a resolução do quadro pode passar pelo tratamento da patologia de base.Palavras chave: Vasculitis leucocitoclàstica. Hepatitis B crònica. Crioglobulinas. AbstractThe authors present a case report of a 79 year old patient who was admitted for the study of vasculitis, whose etiological investigation led us to consider the association with chronic hepatitis B infection. Leucocytoclastic vasculitis may have varied etiologies. The association with viral hepatitis is more common with hepatitis C, but there are some cases reported about the association with hepatitis B. The viral etiology must always be considered in such situations because the case resolution can implicate the treatment of the underlying disease.

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Vasculite cutânea de pequenos vasos: etiologia, patogênese, classificação e critérios diagnósticos - Parte I

Cited by 18 publications

References 127 publications

Cutaneous Vasculitis with Renal Impairment in Octogenarian

Cutaneous Vasculitis with Renal Impairment in Octogenarian

The relationship of food, water intake and esthetic changes during pregnancy

Vasculite leucocitoclástica e infecção crónica por Hepatite B

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