About vasculitis, cutaneous necrotizing

What is vasculitis, cutaneous necrotizing?

Cutaneous necrotizing vasculitis (CNV) is characterized by inflammation and tissue damage (necrosis) of blood vessel walls (lumen) and associated skin (cutaneous) lesions. CNV may be a primary disease process or occur as a result of, or in association with, a number of different underlying disorders (e.g., certain infections, certain autoimmune disorders) or other factors (e.g., allergic reaction or hypersensitivity to certain medications, toxins, or inhaled environmental irritants). It is important to determine whether there is an underlying disorder that leads to the CNV before treatment is started.

CNV is one of a larger group of disorders involving inflammation and blood vessels known as the vasculitides or the vasculitic syndromes. These syndromes range from modest disorders limited to the skin to more serious ones that may involve various organ systems.

What are the symptoms for vasculitis, cutaneous necrotizing?

Including palpable purpura symptom was found in the vasculitis, cutaneous necrotizing condition

Because this condition affects your blood vessels, symptoms might occur in various parts of your body. There’s no single set of symptoms that can definitely indicate you have necrotizing vasculitis.

You might notice initial symptoms on your own without a medical test. These include:

  • chills
  • fatigue
  • fever
  • weight loss

Other early symptoms are only detectable through a blood test. These include leukocytosis, which involves having a high number of white blood cells (WBCs) and anemia.

As the disease progresses, symptoms can worsen and become more varied. Your specific symptoms depend on what parts of your body are affected. You may have:

  • pain
  • skin discoloration
  • lesions, which are usually seen on the legs
  • ulcers on the skin or genitals, or in the mouth

In some cases, the condition may be limited to your skin. In other cases, you might develop kidney damage or bleeding in your lungs. If your brain is affected, you may have difficulty swallowing, speaking, or moving.

What are the causes for vasculitis, cutaneous necrotizing?

This is a rare disease, and doctors don’t know what causes it. However, autoimmunity is considered to play a role in this disorder. Autoimmunity occurs when your body forms antibodies and attacks your own tissues and organs.

What are the treatments for vasculitis, cutaneous necrotizing?

Once a diagnosis has been confirmed, your doctor’s first goal will be to reduce inflammation that may be causing damage to your blood vessels. Once vasculitis is in a state of remission (that is, it’s under control), your doctor will then prescribe maintenance therapy in an effort to maintain this state.

Initially, necrotizing vasculitis is treated with a type of steroid called a corticosteroid. This type of medication helps reduce inflammation. Corticosteroids are prescribed at high doses at first.

If the disease becomes less severe, your doctor can gradually decrease your medication dosage. Prednisolone (Pred Mild) and methylprednisolone (Medrol) are two examples of these corticosteroids.

You may also need to begin taking cyclophosphamide if your symptoms don’t improve or if they’re very severe. This is a chemotherapy drug used to treat cancers. Cyclophosphamide is proven effective in treating certain forms of vasculitis.

You’ll continue taking these medications even after your symptoms go away. You should take them for at least a year after you stop having symptoms.

Your doctor may also prescribe a biologic therapy if conventional treatment is not effective. This type of therapy targets specific parts of the immune system. An example medication is rituximab (Rituxan).

Once you have entered remission, your doctor will prescribe medications for maintenance therapy while tapering off your steroid medication. Possible medications used for maintenance therapy include azathioprine (Imuran, Azasan) and methotrexate. These are both immunosuppressive drugs.

Other areas of your body need to be close monitoring during treatment for SNV:

  • nervous system
  • heart
  • lungs
  • kidneys

If any conditions affecting these areas develop, your doctor can prescribe appropriate treatment for those as well.

What are the risk factors for vasculitis, cutaneous necrotizing?

You’re more likely to develop this disease if you have an autoimmune condition, such as rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE).

Other conditions associated with SNV include:

  • hepatitis B
  • polyarteritis nodosa
  • Kawasaki disease, or mucocutaneous lymph node syndrome
  • scleroderma
  • granulomatosis with polyangiitis

Many of these associated conditions may affect the arteries as well as the blood vessels.

Is there a cure/medications for vasculitis, cutaneous necrotizing?

Necrotizing cutaneous vasculitis is a type of vasculitis that only affects the tiny or medium-sized blood vessels in the skin and subcutaneous tissue. The disease's genesis and severity all influence treatment.

Treatment for the Cutaneous vasculitis
The goal of treatment is to manage any underlying diseases that may be causing the vasculitis and to reduce inflammation.


  • The most popular class of medication used to treat Cutaneous vasculitis-related inflammation is a corticosteroid, such as prednisone.
  • Corticosteroid side effects can be significant, particularly if you use them frequently. Diabetes, bone thinning, and weight gain are examples of potential adverse effects. You'll probably be given the lowest dose of a corticosteroid if it's required for long-term therapy.
  • In order to reduce inflammation and speed up the tapering of corticosteroid dosage, other drugs may be used along with corticosteroids. Depending on the type of vasculitis present, a different drug may be prescribed.
  • These drugs may include cyclophosphamide, mycophenolate (CellCept), azathioprine (Imuran, Azasan), methotrexate (Trexall), tocilizumab (Actemra), or rituximab (Rituxan).
  • The specific medication requirements will depend on the type and severity of your vasculitis, the organs affected, and any additional medical conditions you may have.


  • An aneurysm, which is a bulge or ballooning in a blood vessel's wall, can occasionally be brought on by vasculitis.
  • To lower the chance that it will rupture, this protrusion may require surgery.
  • In order to restore blood flow to the affected area, blocked arteries may also need to be surgically treated.

Lesions, including palpable purpura, petechiae, urticaria, ulcers, livedo reticularis, and nodules
Fever,Arthralgias,Other organ involvement, or a combination

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