Chapter 44: Vasculitis

Purpuric macules and patches with areas of overlying bullae representing bullous leukocytoclastic vasculitis in a person with dark skin. Note also on the distal left extremity the violaceous plaques with a rim of erythema and central erosion. (From Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 35-12. Reproduced with permission from William D. James, MD.)

Densely scattered pink macules and patches along the shin representing a small vessel vasculitis. (From Ali A. McGraw-Hill Education Specialty Board Review Dermatology: A Pictorial Review, 3rd ed. New York, NY: McGraw Hill; 2015, Figure 15-7. Reproduced with permission from Dr. Denise Metry.)

Red to violaceous macules and superficial plaques with central erosion densely scattered along the lateral lower extremity representing leukocytoclastic vasculitis. (Reproduced with permission from Barnhill RL, Crowson AN, Magro CM, et al. Barnhill’s Dermatopathology, 4th ed. New York, NY: McGraw Hill; 2020, Figure 9-4A.)

Palpable purpura. (Reproduced with permission from Soutor C, Hordinsky MK. Clinical Dermatology. New York, NY: McGraw Hill; 2013, Figure 25-4.)

Violaceous to black bullae surrounded by dusky red erythema on the lower extremity of a person with systemic vasculitis. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 139-3B.)

Superficial ulcers with purple border and surrounding pink-purple erythema. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 139-3C.)