The misdiagnosis of superficial thrombophlebitis as cutaneous polyarteritis nodosa: Features of the internal elastic lamina and the compact concentric muscular layer as diagnostic pitfalls

American Journal of Dermatopathology

Volumn 32, Issue 7, 2010, Pages 688-693

  Chen, Ko Ron ^a  

^a SAISEIKAI CENTRAL HOSPITAL   (Japan)

Author keywords

cutaneous polyarteritis nodosa; internal elastic lamina; misdiagnosis; superficial thrombophlebitis

Indexed keywords

ARTICLE; CLINICAL ASSESSMENT; CLINICAL FEATURE; DIAGNOSTIC ERROR; ELASTIC FIBER; HISTOPATHOLOGY; HUMAN; POLYARTERITIS NODOSA; PRIORITY JOURNAL; SKIN POLYARTERITIS NODOSA; SMOOTH MUSCLE; SUPERFICIAL THROMBOPHLEBITIS; TISSUE SECTION;

ARTERIES; DIAGNOSTIC ERRORS; ELASTIC TISSUE; HISTOLOGICAL TECHNIQUES; HUMANS; POLYARTERITIS NODOSA; SKIN; SKIN DISEASES; THROMBOPHLEBITIS; TUNICA MEDIA; VEINS;

EID: 77957365769     PISSN: 01931091     EISSN: None     Source Type: Journal    
DOI: 10.1097/DAD.0b013e3181d7759d     Document Type: Article

References (18)

1. Barnhill RL, Nousari CH, Xu X, et al. Vascular diseases. In: Elder D, Elenitsas R, Johnson BL Jr, eds. Lever's Histopathology of the Skin. 10th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2009:209.
2. Ackerman AB, Chongchitrant N, Sanchez J, et al. Thrombophlebitis. In: Ackerman AB, Chongchitrant N, Sanchez J, eds. Histopathologic Diagnosis of Inflammatory Skin Diseases. An Algorithmic Methods Based on Patterns Analysis. Baltimore, MD: Williams & Wilkins; 1997:752-753.
3. Jorizzo JL, Abernethy JL, White WL, et al. Mucocutaneous criteria for the diagnosis of Behxcet's disease: an analysis of the clinicopathologic data from multiple international centers. J Am Acad Dermatol. 1995;32: 968-976.
4. Kim B, LeBoit PE. Histopathologic features of erythema nodosum-like lesions in Behxcet's disease. A comparison with erythema nodosum focusing on the role of vasculitis. Am J Dermatopathol. 2000;22:379-390.
5. Vikas A, Atul S, Singh R, et al. Behxcet's disease with relapsing cutaneous polyarteritis nodosa-like lesions, responsive to oral cyclosporine therapy. Dermatol Online J. 2003;9:9.
6. Chen HH, Hsiao CH, Chiu HC. Successive development of cutaneous polyarteritis nodosa, leukocytoclastic vasculitis and Sweet's syndrome in a patient with cervical lymphadenitis caused by Mycobacterium fortuitum. Br J Dermatol. 2004;151:1096-1100.
7. Rauh G, Kamilli I, Gresser U, et al. Relapsing polychondritis presenting as cutaneous polyarteritis nodosa. Clin Investig. 1993;71:305-309.
8. Lightman HI, Valderrama E, Ilowite NT. Cutaneous polyarteritis nodosa and thromboses of the superficial and inferior venae cavae. J Rheumatol. 1988;15:113-116.
9. Peraire J, Vidal F, Mayayo E, et al. Cutaneous polyarteritis nodosa in human immunodeficiency virus infection. Br J Rheumatol. 1993;32: 937-942.
10. Schneider JW, Jordaan HF. The histopathologic spectrum of erythema induratum of Bazin. J Am Dermatopathol. 1997;19:323-333.
11. Ackerman AB. Nodular Vasculitis. Histopathologic Diagnosis of Inflammatory Skin Diseases. Philadelphia, PA: Lea & Febiger; 1978:364-367.
12. McKee PH, Calonje E, Granter SR. Vascular diseases: polyarteritis nodosa and microscopic polyangiitis. In: McKee PH, Calonje E, Granter SR, eds. Pathology of the Skin With Clinical Correlations. 3rd ed. London, UK: Elsevier Mosby; 2005:725.
13. Rodriguez-Peralto JL, Carrillo R, Rosales B, et al. Superficial thrombophlebitis. Semin Cutan Med Surg. 2007;26:71-76.
14. Chen KR. Cutaneous polyarteritis nodosa: a clinical and pathological study of 20 cases. J Dermatol. 1989;16:429-442.
15. Diaz-Perez JL, Winkelmann RK. Cutaneous periarteritis nodosa. Arch Dermatol. 1974;110:407-414.
16. Ishibashi M, Chen KR. A morphological study of evolution of cutaneous polyarteritis nodosa. Am J Dermatopathol. 2008;30:319-326.
17. Dalton SR, Fillman EP, Ferringer T, et al. Smooth muscle pattern is more reliable than the presence or absence of an internal elastic lamina in distinguishing an artery from a vein. J Cutan Pathol. 2006;33:216-219.
18. Labropoulos N, Bhatti AF, Amaral S, et al. Neovascularization in acute venous thrombosis. J Vasc Surg. 2005;42:515-518.