Most people with this skin condition have a good prognosis, although healing is often slow. It is common for treatment to help resolve the condition within months, or occasionally a year or longer. In some cases, the disease may become chronic, requiring long-term treatment to manage the symptoms. This skin condition is only dangerous or life-threatening in cases where kidney or lung problems develop as a result of systemic disease.
Treatment is usually based on how long the vasculitis lesions have been active, and whether the lesions are painful, burning, or itchy.
Most patients will consult with a dermatologist to confirm the diagnosis and determine the best course of treatment. Alternatively, a biopsy is taken of a skin lesion, and this skin sample is examined by a dermatologist. Patients might see other specialists depending on their individual situation; someone with lupus might see a rheumatologist, while someone with allergic urticaria might see an allergist or clinical immunologist.
Common medications include antihistamines and non-steroidal anti-inflammatory drugs, which are prescribed for people who have only mild to moderate skin lesions, with no involvement of other organs or body systems. People with more severe disease might be prescribed a short to medium course of corticosteroids to suppress the inflammation.