How is prognosis and tx of LCV?

➢ The prognosis of small vessel vasculitis ranges from a single event lasting a few weeks to a chronic or recurrent condition. ➢ The prognosis of cutaneous vasculitis depends on the underlying syndrome or the presence of end-organ dysfunction. ➢ In the absence of internal involvement, the prognosis is excellent, with the majority of cases resolving within weeks to months. Approximately 10% of patients will have chronic or recurrent disease ➢ Cases that primarily involve the skin should be treated with nontoxic modalities whenever possible, avoiding the use of systemic corticosteroids and immunosuppressive agents. ➢ When vasculitis is drug induced or related to an infection, no specific treatment is required other than cessation of the drug or treatment of the infection. ➢ The medications range from NSAIDs to immunosuppressants, including prednisone, azathioprine and methotrexate