Lupus Renal Vasculitis with Onset of Psoriasis
DOI:
https://doi.org/10.55204/scc.v2i2.e34Keywords:
lupus vasculitis, psoriasis, systemic lupus erythematosusAbstract
Introduction: Lupus renal vasculitis with the onset of psoriasis is a disease with a low incidence of cases and lacks significant studies, its diagnosis is mostly infrequent. This research work aims to analyze the case of a patient diagnosed with the aforementioned disease, in order to understand the patient's disease process, which initially had a diagnosis of psoriasis and later lupus vasculitis.
Clinical case: A 37-year-old female patient, with no significant pathological history, presents with a clinical picture of 10 years of evolution, characterized by generalized lesions, presenting in the upper extremities, trunk and lower extremities. She goes to rheumatology with elevated acute phase reactants, ANA. positive. The skin biopsy reports psoriasiform lesions. Subsequently, she went to the clinic again presenting asthenia, edema, fever, altered renal function, elevated acute phase reactants, and renal biopsy reported pauci-immune small vessel vasculitis, being treated with corticosteroids and immunosuppressants, maintaining her in remission.
Conclusion: Lupus renal vasculitis with psoriasis is an infrequent association, as a result of a deficient study of this, it causes delay in diagnosis and therefore significant affection of the renal system in small and medium vessels.
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García-Arpa M, Flores-Terry MA, Ramos-Rodríguez C, Franco-Muñoz M, González-Ruiz L, Ramírez-Huaranga MA. Lupus eritematoso cutáneo, morfea profunda y psoriasis en una paciente. Reumatol Clínica. 2020;16(2):180-2.
Leone P, Prete M, Malerba E, Bray A, Susca N, Ingravallo G, et al. Lupus Vasculitis: An Overview. Biomedicines. 2021;9(11):1626.
Pimentel-Quiroz VR, Sattui SE, Ugarte-Gil MF, Alarcón GS. ANCA-Associated Vasculitis in Latin America: A Systematic Literature Review: About Their Epidemiology and Their Clinical Features. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2022;28(1):44-51.
AlYousef A, AlSahow A, AlHelal B, Alqallaf A, Abdallah E, Abdellatif M, et al. Glomerulonephritis Histopathological Pattern Change. BMC Nephrol. 2020;21(1):186.
Brevis L, Vargas S, Oddó D, Méndez GP, Brevis L, Vargas S, et al. Correlación anátomo-clínica entre clases y subclases roliferativas de nefritis lúpica en biopsias renales: experiencia de un centro único. Rev Médica Chile. 2019;147(12):1510-7.
Antineutrophil cytoplasmic antibody vasculitis associated with the onset of late-onset systemic lupus erythematosus | Revista Colombiana de Nefrología [Internet]. [citado 2023]. Disponible en: https://revistanefrologia.org/index.php/rcn/article/view/658
Magri SJ, Ugarte-Gil MF, Brance ML, Flores-Suárez LF, Fernández-Ávila DG, Scolnik M, et al. Pan American League of Associations for Rheumatology Guidelines for the treatment of ANCA-associated vasculitis. Lancet Rheumatol.2023;5(8):e483-94.
Domingo S, Solé C, Moliné T, Ferrer B, Cortés-Hernández J. MicroRNAs in Several Cutaneous Autoimmune Diseases: Psoriasis, Cutaneous Lupus Erythematosus and Atopic Dermatitis. Cells.2020;9(12):2656.
Rendon A, Schäkel K. Psoriasis Pathogenesis and Treatment. Int J Mol Sci. 2019;20(6):1475.
Armstrong AW, Read C. Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review. JAMA. 2020;323(19):1945-60.
Rodríguez MLF, Bouarich H, Martínez AB, Giraldo YG. Afectación renal en las enfermedades autoinmunes sistémicas y en las vasculitis. Med - Programa Form Médica Contin Acreditado.2023;13(82):4819-30.
López-Aldabe K, Fulladosa X, Gomà M, Solanich X. Protocolo diagnóstico de la afectación renal en las vasculitis. Med - Programa Form Médica Contin Acreditado. 2021;13(34):1999-2004.
Khil J, Nguyen TM, Troxell ML, Zheng S. Systemic Lupus Erythematosus and ANCA-Associated Vasculitis Overlap Syndrome: A Case Report. Kidney Med.2022;4(11):100544.
Heras Benito M. Implicaciones patogénicas, pronósticas y terapéuticas del complemento en las vasculitis asociadas a anticuerpo anticitoplasma de neutrófilo con afectación renal. Med Clínica.2023;161(4):160-5.
Guerra-Torres XE, Miguel PM. Aproximación diagnóstica y terapéutica de la afectación renal en la vasculitis. Med - Programa Form Médica Contin Acreditado.2019;12(82):4853-6.
Tselios K, Yap KSY, Pakchotanon R, Polachek A, Su J, Urowitz MB, et al. Correction to: Psoriasis in systemic lupus erythematosus: a single-center experience. Clin Rheumatol. 2019;38(1):269-269.
Karimifar M, Mousavi H, Safaei A, Hajihashemi A, Farajzadegan Z, Iraji F. Incidence of psoriasis in patients with active systemic lupus erythematosus. J Prev Epidemiol. 2020;5(1):e07-e07.
Calle-Botero E, Abril A. Lupus Vasculitis. Curr Rheumatol Rep. 2020;22(10):71.
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