Vasculitis leucocitoclástica cutánea en paciente con cáncer gástrico como síndrome paraneoplásico : reporte de caso.
Cutaneous leukocytoclastic vasculitis and gastric adenocarcinoma as paraneoplastic syndrome : case report.
Contenido principal del artículo
La vasculitis más frecuentemente relacionada con neoplasia es una vasculitis de pequeño vaso, la vasculitis leucocitoclástica. Se asocia en su mayoría a neoplasias hematolinfoides y no a tumores sólidos, y se considera que la inflamación cutánea es el resultado del depósito de complejos inmunes circulantes contra los antígenos tumorales depositados en la pared del vaso sanguíneo, que, junto con la activación del complemento, llevan a inflamación vascular. En un tercio de los casos, la vasculitis leucocitoclástica precede a la aparición de la neoplasia en semanas e incluso meses. Se reporta un caso de vasculitis leucocitoclástica cutánea en una paciente con cáncer gástrico metastásico en progresión.
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