To determine if other organs are affected, thus diagnosing systemic vasculitis.To exclude another cause of cutaneous vasculitis.Laboratory tests and imaging are undertaken for 2 main reasons. Imaging, eg X-rays and ultrasound scans.Some people may undergo investigations, such as: It is based on history and physical examination. How is exercise-induced vasculitis diagnosed?ĭiagnosis of exercise-induced vasculitis can be difficult. The end result is inflammation and vascular injury. It is thought that the temperature regulation mechanisms within the calf muscles break down, leading to reduced venous return and blood stasis. What causes exercise-induced vasculitis?Īs the name implies, exercise-induced vasculitis is typically induced by strenuous muscle activity, particularly during warm and humid weather. Exercise-induced capillaritis generally presents with milder clinical features. In these cases, the vasculitis may be due to an underlying disease or condition. Other forms of cutaneous or systemic vasculitis may be aggravated by exercise but are not primarily due to exercise. A purplish-brown mark may persist for longer.ĭifferential diagnosis of exercise-induced vasculitis The patient is otherwise well, without fever, malaise or other symptoms. Intense itching, stinging, pain or burning.Oedema (swelling) of the affected leg(s).Red patches, urticarial lesions ( weals) and purpura (purple spots).Involvement of exposed skin and sparing of skin protected by socks or stockings.What are the clinical features of exercise-induced vasculitis?Įxercise-induced vasculitis mainly affects one or both lower legs and thighs, with single or multiple episodes of a rash with the following characteristics: When only the small capillary vessels are involved, it is also called exercise-induced capillaritis. It is a neutrophilic inflammatory disorder involving the small or medium-sized blood vessels of the skin and subcutaneous tissue. Accessed May 18, 2021.Exercise-induced vasculitis is a harmless form of cutaneous small vessel vasculitis. Henoch-Schonlein purpura (IgA vasculitis): Rapid evidence review. IgA vasculitis (Henoch-Schonlein purpura): Management. IgA vasculitis (Henoch-Schonlein purpura): Clinical manifestations and diagnosis. National Institute of Diabetes and Digestive and Kidney Diseases. Usually this goes away once the illness passes, but some people develop persistent kidney disease. In most cases, this shows up as protein or blood in the urine, which you may not even know is there unless you have a urine test done. Henoch-Schonlein purpura can also affect the kidneys. These symptoms sometimes occur before the rash appears. Many children with Henoch-Schonlein purpura develop belly pain, nausea, vomiting and bloody stools. These symptoms subside when the disease clears and leave no lasting damage. Joint pain sometimes precedes the classical rash by one or two weeks. People with Henoch-Schonlein purpura often have pain and swelling around the joints - mainly in the knees and ankles. The rash can also appear on the arms, face and trunk and may be worse in areas of pressure, such as the sock line and waistline. Reddish-purple spots that look like bruises develop on the buttocks, legs and feet. The four main characteristics of Henoch-Schonlein purpura include:
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