Any paper or help that can assist with predicting the life course of primary vasculitis of the skin if left untreated ?
This depends upon the cause of skin vasculitis. The most common skin vasculitis is small vessel vasculitis of the variety known as leucocytoclastic vasculitis. This can have varying caused ranging from infections, drugs to associated systemic vasculitis with internal organ involvement. The ones related to drugs and infection might be self limiting. The skin vasculitis associated with systemic vasculitis especially medium vessel vasculitis in the form of large ulcers or pyoderma gangrenosum like lesions or cutaneous infarcts need aggressive immunosuppressive therapy
Dr.Chetan, may you explain what does it mean "there isn't a benign one amongst them" ?
Dr.Chetan, "significant tissue destruction" even with no systemic involvement ? Also, is there any evidence for this predicted outcome ?
I fully agree with Dr. Chetan´s opinion that all vasculitis in the adult mus be treated
I also agree with Chetan. The treatment has to be done and at times might be difficult even in only skin involvement of severe kind.
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