Colchicine

Inhibits neutrophil chemotaxis and microtubule assembly

Response rate
Variable; partial responses reported
Onset
Days–weeks
Route
Oral 0.6-1.2 mg daily
Line
1st
IgM effect
Minimal complement effect

Evidence summary

Used as first-line therapy for mild cutaneous UV with arthralgias. Inhibits neutrophil migration to vessel walls, addressing the leukocytoclastic vasculitis. Often used in combination with hydroxychloroquine and dapsone.