Vasculitis as a paraneoplastic syndrome. Report of 11 cases and review of the literature.
In a study of 222 patients with vasculitis, we identified 11 who had an associated neoplasia. Seven had hematological neoplasia and 4 had solid malignant tumors. In 4 patients vasculitis gave the first evidence of the neoplasia or of its recurrence. Nine of our patients had cutaneous vasculitis. The other 2 had vasculitis involving the intestine and resulted in acute abdomens. These 2 patients needed prednisone treatment for the vasculitis. Neoplasia should be considered in patients with vasculitis without an apparent cause.
Sánchez-Guerrero
J
J
Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico.
Gutiérrez-Ureña
S
S
Vidaller
A
A
Reyes
E
E
Iglesias
A
A
Alarcón-Segovia
D
D
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007422:Intestines / Q000098:blood supply; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D010257:Paraneoplastic Syndromes; D012867:Skin / Q000098:blood supply; D014657:Vasculitis / Q000150:complications / Q000473:pathology