Necrotizing leukocytoclastic vasculitis mimicking necrotizing fasciitis: a case report

Authors

  • Mehmet Salih Soylemez Department of Orthopaedics and Traumatology, Bingol State Hospital, Bingol, Turkey http://orcid.org/0000-0002-0828-0145
  • Korhan Ozkan Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital
  • Bulent Kılıc Department of Health Sciences, Istanbul Gelisim University, Istanbul, Turkey
  • Samet Erinc Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital
  • Irfan Esenkaya Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital
  • Bahar Ceyran Department of Pathology, Istanbul Medeniyet University, Goztepe Training and Research Hospital

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20163130

Keywords:

Leukocytoclastic vasculitis, Differential diagnosis, Necrotizing fasciitis

Abstract

There are several subtypes of necrotizing leukocytoclastic vasculitis, which are classified according to their morphological features in biopsy specimens using immunofluorescence microscopy. Necrotizing leukocytoclastic vasculitis is limited to the skin, predominantly that of the lower extremities, and usually spares the palms and soles. The most common skin manifestation is palpable purpura. Other skin manifestations include maculopapular rash, bullae, papules, nodules, ulcers and livedo reticularis. There is no specific laboratory test to determine the diagnosis. There are various diseases presenting with these nonspecific symptoms, and a rapid differential diagnosis must be conducted, because the appropriate differentiation and diagnosis markedly influence the treatment strategy and survival of patients. In this study, we report a case of necrotizing leukocytoclastic vasculitis presenting with internal organ involvement and symptoms of necrotizing fasciitis, with emphasis on the clinical differentiation.

Author Biographies

Mehmet Salih Soylemez, Department of Orthopaedics and Traumatology, Bingol State Hospital, Bingol, Turkey

Department of Orthopaedics and Traumatology

Korhan Ozkan, Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital

Department of Orthopaedics and Traumatology

Bulent Kılıc, Department of Health Sciences, Istanbul Gelisim University, Istanbul, Turkey

Department of Health Sciences, Orthopaedic surgeon.

Samet Erinc, Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital

Department of Orthopaedics and Traumatology

Irfan Esenkaya, Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Goztepe Training and Research Hospital

Department of Orthopaedics and Traumatology.

Bahar Ceyran, Department of Pathology, Istanbul Medeniyet University, Goztepe Training and Research Hospital

Department of Pathology.

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Published

2016-09-03