September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 69 year old lady was referred with a bright red, slightly uncomfortable, rash around both ankles that was exacerbated following walking on the moors, and which settled within 1-2 weeks. There was no other skin history or any new medication.
Non-blanching red areas of skin around both ankles.
What is the diagnosis?
The diagnosis is consistent with exercise-induced vasculitis. which is a small vessel vasculitis.
The key features are as follows:
Investigations are not usually needed, although histopathology shows a leucocytoclastic vasculitis.
The condition is self-limiting and patients should not refrain from exercise. Treatment is not usually required, although for more marked symptoms, leg elevation and the short-term use of a moderately potent topical steroid may be of benefit.
For more information refer to the chapter on vasculitis.
Image copied with kind permission from South Tees NHS Foundation Trust.
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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