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You are here: Home / Articles / Dermatology Case: History of ANCA–Associated Vasculitis, Fever, Rash

Dermatology Case: History of ANCA–Associated Vasculitis, Fever, Rash

April 6, 2012 • By Joseph F. Merola, MD, Monica Ramirez, MD

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Figure 1: Diffuse erythematous, edematous tender plaques with a “pseudovesicular” appearance scattered over the upper back and chest with few scattered extremity lesions.

The Case

A 66-year-old woman with a history of anti­neutrophil cytoplasmic antibody (ANCA)–associated vasculitis presents with two days of fever and rash. The patient’s vasculitis was initially treated with a six-month course of intravenous cyclophosphamide and oral corticosteroids, and the patient was recently transitioned to oral azathioprine as maintenance therapy. A review of systems was also notable for arthralgias. She was febrile to 103ºF, and her physical exam revealed skin lesions scattered across her upper back, shown in Figure 1. The remainder of the patient’s physical exam was unremarkable.

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Explore This Issue
April 2012
Also By This Author
  • Dermatology Case Answer: History of ANCA–Associated Vasculitis, Fever, Rash

What is your diagnosis?

  1. Bacterial sepsis
  2. Sweet’s syndrome
  3. Urticaria
  4. Systemic mycosis/deep fungal infection
  5. Recurrent ANCA-vasculitis with cutaneous involvements

click here for the answer.

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Filed Under: Conditions, Vasculitis Tagged With: ANCA vasculitis, patient care, rheumatologist, Steroids, VasculitisIssue: April 2012

You Might Also Like:
  • Dermatology Case Answer: History of ANCA–Associated Vasculitis, Fever, Rash
  • Fellow’s Forum Case Report: True Vasculitis or Vasculitis Mimic?
  • Dermatology Case Review
  • ANCA-Associated Vasculitis in Systemic Sclerosis

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