tag:blogger.com,1999:blog-9870114.post8712609022067462049..comments2024-03-10T08:41:32.400+00:00Comments on VIRTUAL GRAND ROUNDS IN DERMATOLOGY 2.0: 54 yo man with necrotizing vasculitisHumane Medicine Huihttp://www.blogger.com/profile/07113291188306363130noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-9870114.post-3202036508490297092012-04-05T23:57:18.313+00:002012-04-05T23:57:18.313+00:00From Andrew Carlson, Department of Dermatopatholog...From Andrew Carlson, Department of Dermatopathology, Albany Medical Center: "Where was the biopsy taken- thigh or face? <br /><br />Based on clinical and laboratory findings, I would say he has an indolent variant of systemic polyarteritis nodosa (idiopathic or secondary to drug or CTD). One wonders how his severe rosacea (chronic inflammation) was responsible for promoting vasculitis. <br /><br />The possibility of giant cell arteritis should also be considered.<br /><br />(The bx was taken from the thigh)Humane Medicine Huihttps://www.blogger.com/profile/07113291188306363130noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-204099151098454522012-04-05T18:43:57.720+00:002012-04-05T18:43:57.720+00:00Great biopsy! With a relatively asymptomatic patie...Great biopsy! With a relatively asymptomatic patient and only 2 medications, I'd stop the doxy and HCTZ for a month. If that works, fine. If the condition doesn't reverse itself, I might even try dapsone.Dr. Stephen Stonehttps://www.blogger.com/profile/11999118015030901461noreply@blogger.com