Publication: Cutaneous leukocytoclastic vasculitis: The yield of direct immunofluorescence study
3
Issued Date
2004-05-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-2942594556
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.87, No.5 (2004), 531-535
Suggested Citation
Kanokvalai Kulthanan, Sumruay Pinkaew, Sukhum Jiamton, Punkae Mahaisavariya, Puan Suthipinittharm Cutaneous leukocytoclastic vasculitis: The yield of direct immunofluorescence study. Journal of the Medical Association of Thailand. Vol.87, No.5 (2004), 531-535. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/21663
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Cutaneous leukocytoclastic vasculitis: The yield of direct immunofluorescence study
Other Contributor(s)
Abstract
Background: Leukocytoclastic vasculitis (LCV) is a clinico-pathological entity. Previous direct immunofluorescence study (DIF) studies of vasculitis showed positive, findings mainly in the early stage of the disease. Objective: To study the positive yield and patterns of DIF in patients with various stages of LCV. Design: One hundred patients with LCV who attended the Department of Dermatology, Siriraj Hospital from 1997 to 2000 were enrolled in the study. Results: The study showed immunoreactive deposits in blood vessel walls in 76 cases(76%). Forty seven per cent of patients showed immunoreactant deposit only in superficial blood vessel walls, 3% had deposits only in deep blood vessel walls. Superficial and deep blood vessel-wall deposits were seen in 26%. Dermoepidermal deposit in addition to blood vessel wall deposit was found in 39%. The most common immunoreactive deposit was C3 (71%), followed by IgM (35%), IgA (12%) and IgG (8%) respectively. The age of the skin lesions at the time of biopsy ranged from 1 to 7 days. 82% of patients with one day old lesions showed immunoreactive deposits in the blood vessel walls and 74% of the group with lesions aged 2-7 days at the time of biopsy showed immunoreactive deposits in the blood vessel walls. Conclusion: The present study showed a 76% positive yield for DIF study in patients with LCV when biopsies were performed within one week of onset. There was a tendency for the percentage of positive DIF results to decline when the biopsy was performed on lesions that were more than 1 day old.