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Supportive Bio-occlusive Compression Bandage in the Management of Allergic Leukocytoclastic Vasculitis Ulceration

Our aim was to facilitate healing of allergic leukocytoclastic vasculitis lesions – symmetric purpuric exanthema and ulcer caused by immune complex reactions on cutaneous capillaries and venules endotel.A 69-year-old woman was admitted with shallow secreting and painful ulcerations on her right leg, and hemorrhagic papules and vesicles symmetrically distributed on both legs. The histopathologic and immunopathologic examinations confirmed the diagnosis of vasculitis allergica leukocytoclastica. The patient was administered systemic corticosteroids in a dose of 0.5 mg/kg body weight. Topical therapy revealed application of corticosteroid agents, antiseptic dressings on ulcer, enzymatic debridement, and bioocclusive dressings poliuretan-ibuprofen (INN). After two weeks of therapy introduction, ulcer defect was filled with granulation tissue, with reduction of size, swelling and redness of the surrounding skin, as well as the level of pain. Conclusions: The use of antiseptic measures, ulcer covering with bio-occlusive INN dressings in combination with systemic corticosteroid management resulted in ulcer healing in our patients. Efficient treatment of allergic leukocytoclastic vasculitis with bio-occlusive compression bandage was proven.

Bio-occlusive Compression Bandage; Allergic Leukocytoclastic Vasculitis Ulceration

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