Skin manifestations in microscopic polyangiitis

Nicolò Pipitone, Carlo Salvarani, Gene G. Hunder

Research output: Chapter in Book/Report/Conference proceedingChapter


Microscopic polyangiitis is a pauci-immune necrotizing small- and medium-vessel vasculitis mainly involving the lung and kidneys but also the peripheral nerves and skin. A variety of skin lesions are observed in about half of patients. The most common cutaneous manifestations are palpable purpura, livedo racemosa, and skin nodules. Histology of skin lesions typically shows leukocytoclasia with fibrinoid degeneration, neutrophil infiltration, and sometimes erythrocyte extravasation around the affected capillaries and small vessels in the dermis. Direct immunofluorescence shows absence of immunoglobulin deposits. A detailed clinical history and physical examination complemented by histological studies can aid in discriminating microscopic polyangiitis from other vasculitides affecting the skin.

Original languageEnglish
Title of host publicationSkin Manifestations in Rheumatic Disease
PublisherSpringer New York
Number of pages7
ISBN (Print)9781461478492, 9781461478485
Publication statusPublished - Jan 1 2014

ASJC Scopus subject areas

  • Medicine(all)


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