Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.190072
Jornal Vascular Brasileiro
Case Report

Diagnóstico e terapêutica precoce de vasculite leucocitoclástica: relato de caso

Early diagnosis and treatment of Leukocytoclastic Vasculitis: case report

Alexandre Sacchetti Bezerra; Afonso César Polimanti; Rafael Andretti de Oliveira; Rafael Vilhena de Carvalho Fürst; Paulo Ricardo Criado; João Antônio Corrêa

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Resumo

Resumo: Paciente do sexo feminino, 46 anos de idade, procurou o pronto socorro do Hospital Municipal Universitário apresentando lesões necróticas em membros inferiores associadas à síndrome consumptiva. Após anamnese e exame físico, obteve-se o diagnóstico de vasculite leucocitoclástica de modo imediato e econômico por meio da utilização de algoritmo específico de vasculites primárias, permitindo início precoce da terapêutica adequada. A boa evolução do quadro clínico ratificou a necessidade de se obter diagnóstico definitivo e início rápido da terapêutica.

Palavras-chave

leucocitoclasia, cutânea, algoritmos, diagnóstico, vasculite

Abstract

Abstract: A 46-year-old female patient presented at the emergency department of a Municipal University Hospital with necrotic lesions in lower limbs associated with wasting syndrome. She was diagnosed with leukocytoclastic vasculitis after physical examination and history-taking in a fast and cost-effective manner, using an algorithm specifically for primary vasculitis, enabling early and appropriate treatment. The good clinical outcome demonstrates the need to quickly make a definitive diagnosis and start treatment.
 

Keywords

leukocytoclastic, cutaneous, algorithms, diagnosis, vasculitis

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