Radyokontrast İlişkili Lökositoklastik Vasküliti Olan Diyabetik Hasta: Bir Vaka Sunumu

Sarıakçalı, Barış; Sert, Murat; Evran, Mehtap; Tetiker, Tamer
September 2013
Turkish Journal of Endocrinology & Metabolism;Sep2013, Vol. 17 Issue 3, p78
Academic Journal
The skin is the most affected tissue by many vasculitis syndromes. Leukocytoclastic vasculitis is the most common type of vasculitis syndrome and involves the small vessels. A long list of causative factors has been reported for leukocytoclastic vasculitis. Here, we present a type 2 diabetic patient who had purpuric skin lesions predominantly on the lower limbs and acute renal failure overriding to underlying chronic kidney disease due to leukocytoclastic vasculitis associated with radiocontrast administration. He was initially diagnosed as having diabetic foot ulcer at our outpatient clinic. After single dose betamethasone depot (9.6 mg i.m.), skin eruptions paled and improved; renal function showed an improvement on the following days. There are few case reports on the relationship of radiocontrast agent with leucocytoclastic vasculitis. Our case had leukocytoclastic vasculitis due to radiocontrast agent exposure which is very rare in the literature.


Related Articles

  • EDITORIAL. Başkal, Nilgün // Turkish Journal of Endocrinology & Metabolism;6/1/2014, Vol. 18 Issue 2, pA-V 

    An introduction is presented in which the editor discusses various reports within the issue including the 36th Endocrinology and Metabolic Diseases Congress in Turkey from May 21-25, 2014, effect of basal analog insulin on glycemic variability and cystic parathyroid adenoma.

  • Diabetes patients need reassessment.  // Independent Nurse;3/12/2010, p1 

    The article notes that in context to the findings that 40 percent of patients diagnosed with type-1 diabetes actually had type-2 diabetes and 6 percent of patients were wrongly diagnosed with type-2 diabetes, an audit tool to reassess diabetic patients at annual reviews is being developed.

  • Circulating Complement-C1q TNF-Related Protein 1 Levels Are Increased in Patients with Type 2 Diabetes and Are Associated with Insulin Sensitivity in Chinese Subjects. Pan, Xuebo; Lu, Tingting; Wu, Fan; Jin, Leigang; Zhang, Yi; Shi, Lihua; Li, Xiaokun; Lin, Zhuofeng // PLoS ONE;May2014, Vol. 9 Issue 5, p1 

    Background: Complement-C1q TNF-related protein 1 (CTRP1), a member of the CTRP superfamily, possesses anti-inflammatory and anti-diabetic effects in mice. However, the clinical relevance of CTRP1 has been seldom explored. The current study aimed to investigate the association of circulating...

  • The Problems and Cost-Effectiveness Analysis of Diabetic Foot Infections. Mustafa Sait Gönen; Çakir, Mehtap; Gönülalan, Gülsüm; Öztürk, Mine; Süleyman Hilmi İpekçi,; Köşker, Ali; Mustafa Nazim Karalezli; Erayman, İbrahim; Durgut, Kadir; Keskin, Mustafa; Seyhan, Nevra // Turkish Journal of Endocrinology & Metabolism;Mar2012, Vol. 16 Issue 1, p10 

    Objective: Hospitalization in patients with diabetic foot infection usually increases costs due to required long-term medical treatments and surgical managements. We aimed to investigate the ethiological factors of diabetic foot infections, frequency of osteomyelitis and amputation and the cost...

  • Diyabetik Bir Hastada Nadir Bir Hipoglisemi Sebebi: Malign Metastatik Ä°nsulinoma. Murat Akbaş, Emin; Bilen, Habib; Güngör, Adem; Çapoğlu, İlyas; Başçi, Hümeyra // Turkish Journal of Endocrinology & Metabolism;Dec2012, Vol. 16 Issue 4, p82 

    The occurrence of metastatic insulinoma in a patient with pre-existing diabetes is extremely rare. We report the case of a diabetic patient who had frequent hypoglycemic episodes, apparently related to metastatic insulinoma. A 47-year-old woman with type 2 diabetes mellitus who had been treated...

  • HFE Gene Mutation Among Turkish Patients with Type 2 Diabetes Mellitus. Akbal, Erdem; Güneş, Fahri; Aşık, Mehmet; zbek, Mustafa; reten, Kemal; Altınbaş, Mustafa // Turkish Journal of Endocrinology & Metabolism;Dec2013, Vol. 17 Issue 4, p89 

    Purpose: Hereditary haemochromatosis (HH) is a genetic disease with autosomal recessive trait. Recent studies demonstrated the importance of C282Y gene mutation in the aetiology of HH. Free iron accumulating in pancreas deteriorates insulin secretion and synthesis which can lead to insulin...

  • Glycaemic Responses to Corn Meals in Type 2 Diabetics and Non-Diabetic Controls. Dada, Akinola; Ogbera, Anthonia; Ogundele, Sunday; Fasanmade, Olufemi; Ohwovoriole, Augustine // Turkish Journal of Endocrinology & Metabolism;9/1/2015, Vol. 19 Issue 3, p79 

    Purpose: Dietary modification in association with life style changes is important in the management of the diabetes. Cereals account for as much as 77% of total caloric consumption in most African diets. Corn which is the largest cultivated cereal crop in Nigeria is prepared as a meal in many...

  • Case-Based Study: From Prediabetes to Complications--Opportunities for Prevention. Rappaport, Jonathan; Fonseca, Vivian // PLoS Medicine;Feb2005, Vol. 2 Issue 2, p127 

    Presents a case which illustrates an otherwise healthy appearing patient who is found to have the metabolic syndrome and despite evidence-based management develops type 2 diabetes. Description of the case; Diagnostic criteria for type 2 diabetes; Information on metabolic syndrome.

  • Therapeutics. In people with newly diagnosed type 2 diabetes an intensive dietary intervention, with or without an activity programme, improves glycaemic control over 12 months compared with usual care. Coppell, Kirsten // Evidence Based Medicine;Jun2012, Vol. 17 Issue 3, p85 

    The author comments on the study "Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial," by R. C. Andrews, A. R. Cooper, A. A. Montgomery, et al, in the July 9, 2011 issue of the "Lancet." The study...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics