Teledermatology is the delivery of dermatologic health care to remote locations by means of telecommunications and information technology. It facilitates delivery of services by a dermatologist at a different time and place than the patient who receives them. Both real-time videoconferences and store-and-forward systems have proven to be highly reliable and accurate in teledermatologic diagnosis compared to traditional face-to-face diagnosis.

Wednesday, April 20, 2005

Urticarial Vasculitis

I usually think of urticarial vasculitis as an urticarial rash that lasts longer than 24 hours and is associated with hemorrhage into the skin.The hemorrhage will often appear at the edge of the urticarial wheals particularly on the legs.The histopathology is usually a lymphocytic vasculitis.I cannot say I have seen this picture on the hands before.Was a biopsy done?
I usually think of urticarial vasculitis as an early presentation of lupus erythematosus and do blood studies for any evidence. View Images

posted by Dr Ian McColl at 8:15 PM

2 Comments:

Blogger Dr Ian McColl said...

I usually think of urticarial vasculitis as an urticarial rash that lasts longer than 24 hours and is associated with hemorrhage into the skin.The hemorrhage will often appear at the edge of the urticarial wheals particularly on the legs.The histopathology is usually a lymphocytic vasculitis.I cannot say I have seen this picture on the hands before.Was a biopsy done?
I usually think of urticarial vasculitis as an early presentation of lupus erythematosus and do blood studies for any evidence

8:38 PM

 
Blogger Dr. Shahbaz A.Janjua said...

This should be true for multiple urticarial annular nonblanching plaques present elsewhere but similar eruption affecting the palms would look like this. The diagnosis, however, was clinical and biopsy was not done. This case was most probably drug induced.

11:58 PM

 

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