Basic and Clinical Sciences (BCSE) Practice Exam

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Which conditions can trigger leukocytoclastic vasculitis?

  1. Only infections

  2. Only drugs

  3. Infections, drugs, and connective tissue diseases

  4. Only autoimmune diseases

The correct answer is: Infections, drugs, and connective tissue diseases

Leukocytoclastic vasculitis is a type of small vessel vasculitis characterized by the presence of neutrophilic infiltration and damage to the blood vessel walls, often leading to skin manifestations such as palpable purpura. The condition can be triggered by a variety of factors, which include infections, drugs, and certain connective tissue diseases. Infections can stimulate an inappropriate immune response, leading to vasculitis, while drugs can act as antigens that trigger hypersensitivity reactions, particularly those that are immune-mediated. Additionally, autoimmune diseases and other inflammatory conditions, such as systemic lupus erythematosus or rheumatoid arthritis, can also be associated with leukocytoclastic vasculitis through their systemic effects on the immune system and inflammation. Thus, the comprehensive nature of the correct answer reflects the multifactorial etiology of leukocytoclastic vasculitis, which can arise from these diverse triggers rather than being limited to a single category. Understanding the wide range of potential triggers is essential for diagnosis and management of this condition.