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Cutaneous vasculitis due to vascular deposition of large circulating immune complexes is a disease frequently seen by general practitioners and dermatologists. The clinical symptom is palpable purpura with predilection for the lower legs.
In some cases vasculitis also affects systemic organs, such as the kidneys and the intestine.
When the immune complexes contain immunoglobulin class A (IgA) and when there is systemic involvement, the disease has been referred to as Henoch Schönlein purpura.
When there are no signs of systemic involvement, the disease has been referred to as cutaneous leukocytoclastic angiitis.
The investigators hypothesize that palpable purpura with predilection for lower legs is a pathognomonic clinical sign for immune complex vasculitis in both IgA vasculitis and IgA-negative vasculitis, but that only the presence of IgA in immune complexes is likely to be associated with systemic involvement and therefore warrants more extensive diagnostic procedures Vice versa the investigators postulate that the presence of IgG or IgM without IgA in immune complexes excludes systemic involvement The investigators also want to investigate to which of the 2 groups patients with palpable purpura and negative immunofluorescence should be assigned.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IgA-positive vasculitis | Patients with immune complex vasculitis who show perivascular deposits of IgA | ||
| IgA-negative vasculitis | Patients with immune complex vasculitis who show no perivascular deposits of IgA |
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| Measure | Description | Time Frame |
|---|---|---|
| Frequency of systemic involvement in patients with IgA-positive versus patients with non-IgA-positive immune complex vasculitis | 10 years |
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Inclusion Criteria:
Exclusion Criteria:
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All patients of the department of dermatology in Muenster with histologically proven leukocytoclastic vasculitis in files in last 10-20 years
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cord Sunderkötter, Prof Dr MD | Contact | +49 251 8357481 | cord.sunderkoetter@ukmuenster.de | |
| Ilka Herrgott, MD | Contact | +49 251 8356502 |
| Name | Affiliation | Role |
|---|---|---|
| Cord Sunderkoetter, Prof Dr MD | Department of Dermatology, Univ Hospital of Muenster | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Dermatology, Univ hospital of Muenster | Recruiting | Münster | 48149 | Germany |
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| ID | Term |
|---|---|
| D017445 | Skin Diseases, Vascular |
| D011695 | IgA Vasculitis |
| D005922 | Glomerulonephritis, IGA |
| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D014657 | Vasculitis |
| D014652 | Vascular Diseases |
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| D002318 |
| Cardiovascular Diseases |
| D011693 | Purpura |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D020141 | Hemostatic Disorders |
| D006474 | Hemorrhagic Disorders |
| D007105 | Immune Complex Diseases |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D005921 | Glomerulonephritis |
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D001327 | Autoimmune Diseases |