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Erschienen in:
01.10.2008 | Short Communication
Curious cutaneous vasculitis
Erschienen in: Rheumatology International | Ausgabe 12/2008
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A 65-year-old woman who had type 2 diabetes mellitus, hypertension and coronary artery disease was admitted with a 4-day history of pain, erythema and swelling of her left toes and adjacent dorsum of her foot associated with high temperature. Pulses were normal and no peripheral neuropathy was found. Bullous erysipelas was diagnosed (Fig. 1). The ESR was 118 mm/h; CRP 54 mg/dl and WBC 10 × 103/μl with a left shift. Oral antibiotics (clindamycin + ofloxacin) were commenced. At night, she was given a 500 mg dipyrone tablet for leg pain. Three days later a palpable purpuric rash appeared below the knee on her right leg alone (Fig. 1). Biopsy revealed changes characteristic of leukocytoclastic vasculitis (not shown). Mild arthralgia was the only other change observed. Once she improved sufficiently at home and started walking, she presented again to the emergency room, alarmed because multiple additional typical lesions now developed on the other leg as well.
Fig. 1
Bullous erysipelas on the left leg and unilateral hypersensitivity vasculitis on the other
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