Thrombotic eosinophilic vasculitis.
Eosinophilic vasculitis is characterized by pruritic erythema, papules and angio-oedema. We report a case of thrombotic eosinophilic vasculitis with leg oedema and widespread purpura, which resulted in extensive gangrene. Corticosteroids and anticoagulants relieved the symptoms; however, deep ulcers remained after the removal of gangrene. An attempt to decrease corticosteroid dose caused a recurrence of purpura. This case strongly suggests that eosinophilis evoke serious cutaneous vasculitis in the absence of hypereosinophilia.
Department of Dermatology, Kochi Prefectural Aki Hospital, Kochi, Japan. nakajimahideki2007@yahoo.co.jp
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D000369:Aged, 80 and over; D004802:Eosinophilia / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D005734:Gangrene / Q000209:etiology; D006801:Humans; D011693:Purpura / Q000209:etiology; D017445:Skin Diseases, Vascular / Q000209:etiology*; D013927:Thrombosis / Q000150:complications*; D014657:Vasculitis / Q000209:etiology*