Vasculitis Diagnosis & Treatment
Vasculitis affecting the skin can look alarming and progress quickly — and it often signals something systemic that needs expert evaluation. Our board-certified dermatologists in Honolulu provide thorough diagnosis and coordinated care to identify the cause and protect your skin and overall health.
What Is Vasculitis?
Vasculitis is inflammation of the blood vessels that can damage vessel walls, disrupt blood flow, and cause visible skin changes including purpura, ulcers, and necrosis. Cutaneous vasculitis may be isolated to the skin or a sign of systemic disease.
Small-Vessel Vasculitis
The most common type affecting the skin — presenting as palpable purpura (raised, non-blanching red or purple spots) typically on the lower legs, triggered by infection, medication, or autoimmune disease.
Medium-Vessel Vasculitis
Involves deeper vessels and can cause nodules, livedo reticularis, or ulceration — often associated with systemic conditions like polyarteritis nodosa that require multidisciplinary management.
Hypersensitivity Vasculitis
An immune-mediated reaction to a trigger — most commonly a medication, infection, or food — causing acute cutaneous inflammation that resolves once the trigger is removed.
The staff was pleasant, the wait was short, and the diagnosis and treatment was very straightforward. Dr. Musaev has excellent knowledge and explained things well. The procedure was quick and painless. Clinic location and parking was easy. A great community resource!
Yoichi Soma
Great experience at Hawaii Premier Dermatology! This was my first derm appointment and I am very happy I chose to come here. Justin was very knowledgeable and helpful and I even got something else checked that I didn’t originally plan on getting checked. I’ll be coming here from now on and I highly recommend!
Rhema Wong
Justin Maio and staff were super friendly. I was actually a bit late to my appointment but was still accommodated. Great experience.
Kim Nicely
Wonderful, respectful, easy to schedule, easy to check in. Doctor was prompt and thorough and kind. He spent as much time as needed with me. Definitely recommend Hawaii Premier Derm, thanks y’all!
Colby Kohler
Dr Tagai and his assistants were detailed and quick in my recent visit. They helped me navigate many paths forward for me to choose from based on my skin condition. Thanks!
Sumsum Smead
Very fast and professional. I was nervous at first as it was my first doctor appointment ever since I’ve moved here but everyone was very friendly and I felt so welcomed there . Thank you Dr. Tagai, Grace and the front staff .💕
Tiffany Ide
Justin Maio is #AMAZING. Such a wonderful person with a great personality, and he always puts you at ease–even when it can be scary getting biopsies! I would travel 50 miles anywhere on this island just to see him–and I already go 22! Best office with the nicest and most professional staff. I truly cannot say enough positive things–No joke!
Kathy Coryea
Had a worry about a skin cancer spot and was relieved when Dr. Tagai had a spot for me that week. He had excellent bedside manner and was compassionate when I was a bit of a wimp (okay, a big wimp) with the needle. Highly recommend him.
Cherie Y
After two years of wondering and self treating and many healthcare visits to the cheap clinics and constant AI asks, I paid out of pocket less than $400 for 2 visits to find out I have a rare skin condition called Actinic Dermatitis. Thank you Justin, now I know and now I can sleep well at night and understand what is NOT causing this. I really appreciate your expertise!
Tim Swartz
Wonderful experience! The staff was professional, kind, and attentive. Justin was very friendly, knowledgeable, and made me feel comfortable throughout the visit. Highly recommend this clinic!
Olena Mazur
Precision Diagnosis
Vasculitis requires careful evaluation to determine its type, extent, and whether internal organs are involved — skin findings are often just the visible part of a broader picture.
- Skin Biopsy
The cornerstone of vasculitis diagnosis — tissue sampling confirms vessel inflammation and helps classify the type for targeted treatment.
- Lab & Immune Workup
Blood tests assess for autoimmune markers, infection, complement levels, and organ involvement to identify the underlying driver.
- Trigger Identification
We review medications, recent infections, and exposures to isolate and eliminate the cause where possible.
Accurate classification is essential — treatment for isolated cutaneous vasculitis differs significantly from systemic disease requiring specialist coordination.
The Hawaii Premier Difference
- Board-Certified Experts
We specialize in inflammatory and immune-mediated skin diseases, ensuring accurate vasculitis diagnosis and advanced care in Honolulu.
- Evidence-Based Treatments
We don’t rely on fads. Every treatment decision is grounded in biopsy findings, lab results, and current clinical guidelines.
- Compassionate Approach
We understand vasculitis can be frightening and confusing. Our team provides clear answers and coordinated care from diagnosis through remission.
Take the First Step
Choose how you'd like to connect with us:
If you’re seeing unexplained spots, purpura, or skin ulcers, don’t wait — vasculitis moves quickly and early diagnosis matters. Our Honolulu team is ready to evaluate your skin and get you the answers you need.
Other Ways to Reach Us:
- 1600 Kapiolani Boulevard Ste 508, Honolulu, HI, 96814
- Phone: (808) 400-6904
- Email: info@hawaiipremierderm.com
Send us a message or consultation request
Ready to book directly?
Book your in-person consultation in Honolulu to get your personalized treatment roadmap.