Inflammatory ulcera caused of vasculitides and vasculopathy

Summary

In addition to traditional vascular causes ulceration of the lower leg as peripheral arterial disease and chronic venous insufficiency, it is primarily the vasculitis and vasculopathies, often are both diagnostically and therapeutically to a challenge.

The disorder group ranked in the frequency distribution of the causes of a leg ulcer with <10 % rarely in the area, but is much more complex of the pathogenesis, the clinical picture, the course of therapy and often much more complex.

The revised International in 2012 Chapel Hill Consensus Conference (CHCC) Nomenclature of vasculitis is a first impression of the diversity of this group of diseases and makes it clear how important the medical history for diagnosis is.

In the CHCC- categorizing the etiology, pathogenesis, the caliber of the vessel, the inflammatory type, the organs mainly affected, the clinical manifestation, genetic predisposition and demographic parameters were included.

With this revision of the first CHCC nomenclature of 1994 took place an important adaptation to the latest findings. The group of vasculitis is divided specific, this facilitates the handling of the disease in clinical practice.

The vasculopathies represent another rare fringe of the causes of an ulcer curis. These disorders are often as complex as a vasculitis and must be always used in difficult to treat ulcers in the differential diagnosis.

Keywords

Vasculitis - vasculopathy - ulcer cruris

• References

• 1 Sunderkötter C. Vasculitis und Vasculopathie. In: Plewig G, Landthaler M, Burgdorf W, Hertl M, Ruzicka Th. (Hrsg). Braun Falco’s Dermatologie, Venerologie und Allergologie. Berlin, Heidelberg: Springer; 6. Aufl. 2012
• 2 Jennette JC. et al. 2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis & Rheumatism 2013; 65 (Suppl. 01) 1-11.