J Rheum Dis.  2015 Oct;22(5):322-326. 10.4078/jrd.2015.22.5.322.

A Case of Improved Leukocytoclastic Vasculitis after Successful Treatment of Hepatocellular Carcinoma and Membranous Obstruction of Inferior Vena Cava

Affiliations
  • 1Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. gtah@hanmail.net
  • 2Department of Radiology, Kosin University College of Medicine, Busan, Korea.

Abstract

Vasculitis is a heterogeneous group of diseases that destroy blood vessel walls by inflammation. Approximately half of vasculitis cases are idiopathic, but sometimes associated with genetic factors, medicines, chronic infection, autoimmune diseases, and malignancies. Although the mechanism remains unclear, vasculitis secondary to malignancy, also known as paraneoplastic vasculitis, has been reported. It is generally associated with hematologic malignancies rather than solid malignancies and commonly presents as leukocytoclastic vasculitis or polyarteritis nodosa. We experienced a case of leukocytoclastic vasculitis in a patient with hepatocellular carcinoma and membranous obstruction of the inferior vena cava. Here, we report this case with a brief review of literature.

Keyword

Vasculitis; Hepatocellular carcinoma; Inferior vena cava
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