Blue toe syndrome as the initial manifestation of ANCA-associated vasculitis

• Authors: Liubomir Marinchev , Maria Hristova , Marta Baleva , Zlatimir Kolarov
• Languages of publication: EN

Abstracts

EN

The blue (or purple) toe syndrome describes the development of a blue or violaceous discoloration in one or more toes in the absence of obvious trauma, serious cold-induced injury or disorders producing generalized cyanosis. The presence of blue toe syndrome requires the clinician to search for primary systemic vasculitides, as well as for malignancy, underlying infection, thrombosis, cardiovascular pathology and other diseases. An accurate diagnosis is critical because many of the causes threaten life or limb, but the patient’s medical history, accompanying non-dermatologic findings on physical examination and the use of discriminatory laboratory tests are usually more important than the nature of the cutaneous abnormalities. We describe the case of a 53-year-old Caucasian male patient presenting with blue toe syndrome as the initial manifestation of ANCA-associated vasculitis.

Keywords

EN

Blue toe syndrome; ANCA-associated vasculitis

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 5
• Pages: 577-579

Dates

published

1 - 10 - 2013

online

18 - 9 - 2013

Contributors

author

Liubomir Marinchev

• Clinic of Rheumatology, University Hospital St.Ivan Rilsky, Sofia, Bulgaria

author

Maria Hristova

• Department of Clinical Immunology, University Hospital Alexandrovska, 1.G. Sofiiski Str., Sofia, 1431, Bulgaria

author

Marta Baleva

• Department of Clinical Immunology, University Hospital Alexandrovska, 1.G. Sofiiski Str., Sofia, 1431, Bulgaria

author

Zlatimir Kolarov

• Clinic of Rheumatology, University Hospital St.Ivan Rilsky, Sofia, Bulgaria

References

• [1] Hirschmann J. V. and Raugi G.J., Blue (or purple) toe syndrome, J. Am. Acad. Dermatol., 2009, 60, 1–20 http://dx.doi.org/10.1016/j.jaad.2008.09.038[Crossref]
• [2] Hahn B. H., Vasculitis: Attack of the Leukocytes, Lupus News, 2003, 23
• [3] Pipitone N., Holl-Ulrich K., Gross W.L., Lamprecht P., Unclassified vasculitis with acral ischemic lesions: “form fruste” or idiopathic vasculitis, Clin. Exp. Rheumatol., 2008, 26(3 suppl. 49), S 41–66

Identifiers

DOI

10.2478/s11536-012-0142-5