Atypical pediatric presentation of lymphocytic thrombophilic arteritis: Diagnostic difficulties and recent nosological clarification
| Autor: | Mar Blanes-Martínez, Isabel Betlloch-Mas, Gloria Juan-Carpena, Juan Carlos Palazón-Cabanes, Sandra Silva-Ortega |
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| Rok vydání: | 2021 |
| Předmět: |
macular arteritis
medicine.medical_specialty pediatrics Biopsy Dermatology vasculitis Lymphocytic Infiltrate 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Hyperpigmentation medicine Humans Lymphocytes Arteritis Child Skin Polyarteritis nodosa business.industry medicine.disease Polyarteritis Nodosa Young age polyarteritis nodosa Child Preschool 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health lymphocytic thrombophilic arteritis Female Presentation (obstetrics) Vasculitis Skin lesion Whole body business |
| Zdroj: | PEDIATRIC DERMATOLOGY r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante instname |
| ISSN: | 0736-8046 |
| Popis: | A 4-year-old girl presented with a 2-month history of round, hypopigmented, slightly scaly patches measuring 1-6 cm and encircled by an erythematous halo, first appearing on the lower limbs then spreading to the whole body. Three biopsies were taken as the condition progressed, each showing a lymphocytic infiltrate affecting a medium-sized artery at the dermal-subcutaneous junction, with a concentric fibrin ring. These findings are characteristic of lymphocytic thrombophilic arteritis (LTA). The young age of our patient and the type of skin lesions she developed make this an atypical presentation of LTA, which usually manifests as hyperpigmented macules on the lower extremities, predominantly in dark-skinned women. |
| Databáze: | OpenAIRE |
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