Rapidly evolving cryoglobulinemic vasculitis

  • Edwin Andrés Rodríguez Arias Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
  • María Sol Sigismondo Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
  • Lorea de Arza Pochylak Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
  • Pablo Díaz Aguiar Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
  • Grace Beatriz Loayza Reynolds Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
Keywords: vasculitis, cryoglobulinemia

Abstract

Vasculitis is manifested by inflammation of the blood vessels, affecting from the capillaries to the largest vessels. Dermatological compromise due to vasculitis ranges from mild cases that generate superficial involvement to ulcers and necrosis of different tissues. Cryoglobulinemia is characterized by the presence of serum cryoglobulins, which precipitate at temperatures below 37 degrees Celsius. It is associated with infectious, immune-mediated, and lymphoproliferative diseases, especially infection by the hepatitis C virus. Vasculitis in the context of cryoglobulins is produced by immune complex deposits in capillaries, arterioles, and small and medium-sized arteries. Treatment is based on treating the underlying cause and modulating the inflammatory response. We present the case of a 50-year-old man, with a history of chronic hepatitis B, who presented acute and critical ischemia of both extremities, documenting cryoglobulinemic vasculitis with poor evolution.

Author Biographies

Edwin Andrés Rodríguez Arias, Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
Medical Clinic Division
María Sol Sigismondo, Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
Medical Clinic Division
Lorea de Arza Pochylak, Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
Medical Clinic Division
Pablo Díaz Aguiar, Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
Medical Clinic Division
Grace Beatriz Loayza Reynolds, Professor Alejandro Posadas National Hospital, El Palomar, Buenos Aires Province, Argentina
Division of Immunology

References

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Published
2023-11-27
How to Cite
1.
Rodríguez Arias EA, Sigismondo MS, de Arza Pochylak L, Díaz Aguiar P, Loayza Reynolds GB. Rapidly evolving cryoglobulinemic vasculitis. Rev. Argent. Reumatol. [Internet]. 2023Nov.27 [cited 2024Sep.16];34(3). Available from: https://ojs.reumatologia.org.ar/index.php/revistaSAR/article/view/777
Section
Clinical Case