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Medicina interna de México

versão impressa ISSN 0186-4866

Resumo

HERNANDEZ-LOPEZ, Agustín; PANIGUA-TAPIA,, Marco Uriel; CORTES-ROJO, Christian  e  RODRIGUEZ-OROZCO, Alain Raimundo. Leukocytoclastic vasculitis (hypersensitivity vasculitis). Med. interna Méx. [online]. 2019, vol.35, n.2, pp.251-267.  Epub 30-Set-2020. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i2.2351.

Leukocytoclastic vasculitis is an autoimmune disorder that affects small vessels, and causes inflammation, destruction and necrosis of the same. It is often underdiagnosed. The etiology is multifactorial, the pathophysiology is complex and immunomodulators are the most important medications in their treatment. This article aims to review the current state of knowledge in leukocytoclastic vasculitis with emphasis on diagnosis and treatment. Articles published in the period from 1990 to 2017 were reviewed. The browsers were Google Crome and Firefox and the search engine was Scholar google. The database consulted was: MEDLINE, RIMA Astra-Zeneca and the clinical practice guidelines of the Mexican health system (CENETEC); 108 relevant publications to the subject were reviewed, prioritizing those belonging to journals indexed in MEDLINE and Science Citation Index-JCR. Studies are required to integrate clinical and treatment subgroups and investigate the mechanisms of tissue damage in each subgroup. Immunomodulation plays a central role in the treatment.

Palavras-chave : Vasculitis; Hypersensitivity; Leukocytoclastic vasculitis.

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