Petechiae, Purpura and Vasculitis
Petechiae, Purpura and Vasculitis
Petechiae, Purpura and Vasculitis
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Management: PAN<br />
• Chronic course (months-years);<br />
exacerbations/remissions<br />
• Local wound care to any skin ulcerations<br />
• Patients without cutaneous PAN may be treated with<br />
systemic corticosteroids alone<br />
• For patients with cardiac, gastrointestinal,<br />
neurological, or renal involvement (i.e., systemic PAN):<br />
• Specialty consultation for involved organs (especially<br />
nephrology <strong>and</strong> neurology)<br />
• Adjunctive therapy with cyclophosphamide<br />
• Treat any underlying infections (e.g., HBV)