Table 4.
Conditions that mimic SVV.
Isolated skin vasculitis mimics |
Purpuric lesions |
Drug eruptions, erythema multiforme, arthropod bites, infectious emboli (endocarditis), pigmented purpura, cellulitis, viral exanthems, hemorrhagic lesions, scurvy, antiphospholipid syndrome, heparin-induced thrombocytopenia, warfarin necrosis, thrombotic thrombocytopenic purpura, paroxysmal nocturnal hemoglobinuria, amyloidosis |
Urticarial lesions |
Urticaria, arthropod bites, serum sickness-like eruption, autoinflammatory diseases, Sweet's syndrome, viral exanthems, Schnitzler's syndrome |
Nodular lesions |
Panniculitis, granulomatous diseases, cutaneous neoplasm, superficial phlebitis |
Ulcers |
Venous hypertension, peripheral artery disease, pyoderma gangrenosum, calciphylaxis, hypercoagulable diseases, livedoid vasculopathy, chronic infections, hemoglobinopathies |
Livedo reticularis |
Paraproteinemia, livedoid vasculopathy, purpura fulminans, hypercoagulable diseases, thrombotic microangiopathies |
Pulmonary-renal syndrome mimics |
Infectious disease mimics |
Severe bacterial pneumonia, postinfectious glomerulonephritis, infective endocarditis, sepsis with multiorgan failure (ARDS and AKI) |
Cardiac mimics |
Pulmonary edema with cardiorenal AKI |
Renal mimics |
Nephrotic syndrome with pulmonary emboli, microangiopathic diseases |
Connective tissue diseases |
Systemic lupus erythematosus, mixed connective tissue disease, systemic sclerosis with scleroderma renal crisis |
Antiphospholipid syndrome |
Asthma and eosinophilia (EGPA mimics) |
Infectious diseases |
Toxocariasis, HIV, Aspergillus spp. |
Hematological diseases |
Hypereosinophilic syndrome, eosinophilic leukemia, systemic mastocytosis, chronic myeloid leukemia |
Paraneoplastic syndrome |
Lung cancer, cervical cancer, Hodgkin's lymphoma, non-Hodgkin's T-cell lymphoma |
Pulmonary diseases |
Hypereosinophilic asthma, allergic bronchopulmonary aspergillosis, aspirin-exacerbated respiratory disease, idiopathic eosinophilic pneumonia |
Midline destructive lesions (ENT limited GPA mimics) |
Cocaine-induced midline destructive lesions |
Necrotizing sinonasal infections |
Usual ENT bacteria, mycobacteria, syphilis, fungal, parasitic |
Neoplastic |
NK/T-cell lymphoma |
Inflammatory |
Sarcoidosis, IgG4-related disease |
Idiopathic midline destructive disease |