TY - CHAP M1 - Book, Section TI - Chapter 163. Cutaneous Necrotizing Venulitis A1 - Soter, Nicholas A. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintCutaneous Necrotizing Venulitis at a GlanceSignature lesions are erythematous papules that do not blanch when the skin is pressed and are known as palpable purpura.Palpable purpura persists for 1 to 4 weeks and resolves at times with transient hyperpigmentation and/or atrophic scars.Macules, papules, urticaria/angioedema, pustules, vesicles, ulcers, necrosis, and livedo reticularis also may be present.May be characterized by episodes of recurrent and chronic urticaria and angioedema.Lesions may occur anywhere on the skin but are most common on the lower extremities or over dependent areas such as the back and gluteal regions.May be associated with connective-tissue diseases, notably rheumatoid arthritis, Sjögren syndrome, systemic lupus erythematous, and hypergammaglobulinemic purpura.There may be many precipitating causes but infections and drugs are most common.The most widely recognized subgroup of idiopathic cutaneous necrotizing vasculitis in children is Henoch–Schönlein purpura.Histopathologic criteria include necrosis of the blood vessels with the ‘deposition of fibrinoid material and dermal cellular infiltrates that consist of neutrophils with nuclear debris, mononuclear cells, and extravasated erythrocytes. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=56078348 ER -