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Leukocytoclastic vasculitis (LCV) is a common form of small-vessel vasculitis, which commonly presents as palpable purpura or petechiae, caused by deposition of circulating immune complexes on vessels walls that attracts granulocytes which damage the vascular endothelium and leading to erythrocytes extravasation. The skin is the most commonly involved organ, but also renal, gastrointestinal, pulmonary, cardiovascular and neurological systems may be affected. Skin lesions may be the initial signs of systemic vasculitis. Systemic symptoms may be present, such us fever, myalgia, abdominal pain and arthralgia. The presence of neuropathy/mononeuritis multiplex is expression of severe vasculitic involvement. Herein, we describe the case of a patient with leucocytoclastic vasculitis associated to sensitive neuropathy, responsive to intravenous immunoglobulins (IVIg) therapy, after the failure of classic systemic treatments.

Involvement in the criminal justice system is common among opioid-dependent people. This study aimed to determine prevalence and adolescent-onset correlates of adult imprisonment among opioid-dependent men and women in New South Wales, Australia.Participants were recruited from opioid substitution therapy clinics and completed a face-to-face, structured interview. Data were collected on demographic characteristics, family history, substance dependence and psychiatric disorders. Adolescent-onset correlates of adult incarceration (including interactions with gender) were examined using logistic regression.Opioid-dependent men were significantly more likely than opioid-dependent women to report adult imprisonment (66% vs 40%; P 0.001). In a multivariable logistic regression model, older age, male gender, having completed high school education only, having dependent children or living independently prior to age 18 years, a history of juvenile detention and adolescent-onset opioid dependence were all significantly associated with increased odds of adult imprisonment. Adolescent-onset depression was associated with a halving of odds of adult imprisonment. The only variable for which we observed an interaction with gender was juvenile detention, which had a significantly greater impact on the odds of imprisonment for men than women.More than half of this sample of opioid dependent adults had a history of imprisonment. Variables that are associated with imprisonment in the general population, such as childhood maltreatment, were not important in predicting imprisonment in this sample. Further study is required to understand the interaction between sex and juvenile detention in predicting adult imprisonment. [Larney S, Cama E, Nelson E, Larance B, Degenhardt L. A cross-sectional study of correlates of imprisonment in opioid-dependent men and women in New South Wales, Australia. Drug Alcohol Rev 2016;35:686-692].

This report examines image-based abuse and bystander intervention in Australia. Image-based abuse involves three main behaviours—non-consensually taking/creating nude or sexual images, non-consensually sharing/distributing nude or sexual images, and threatening to share/distribute nude or sexual images. In this report, we present data from an online survey of 245 Australian residents (aged 18–71 years), 35 face-to-face focus groups with 219 participants and a review of available resources on bystander intervention and image-based abuse. Ultimately, we found that many people do not intervene when witnessing image-based abuse. While 64.1 percent of respondents had witnessed image-based abuse, only 45.6 percent reported that they said or did something. We also discuss a range of barriers to and facilitators of intervention, such as the social and physical safety risks of intervention, potential impacts on interpersonal relationships, gender, the potential for escalation, and whether participants perceived they would receive support from others. The report also shows that participants have limited knowledge of existing image-based abuse resources and supports. We argue that improved education and awareness of image-based abuse is needed to actively discourage it and highlight its harms and consequences, alongside education on how bystanders can safely and effectively intervene and/or support victims when witnessing image-based abuse.