Acute brucellosis presenting as leukocytoclastic vasculitis.
We present the case of a 64 year-old-male fur trader from Lerida (Spain), who consulted us because of a 2-week history of night fever and the presence of non-pruritic purpuric lesions on the distal third of the lower limbs. Laboratory findings demonstrated positive serology for brucellosis and cutaneous biopsy showed leukocytoclastic vasculitis. The pathogenesis of the cutaneous process is discussed. We also suggest that brucellosis should be included among the infections taken into account in patients suffering from leukocytoclastic vasculitis coming from brucella-endemic areas.
Vázquez Doval
F J
FJ
Department of Dermatology, University Clinic, School of Medicine, University of Navarra, Pamplona, Spain.
Ruiz de Erenchun Lasa
F
F
Sola Casas
M A
MA
Soto de Delás
J
J
Quintanilla Gutiérrez
E
E
D000208:Acute Disease; D002006:Brucellosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007962:Leukocytes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D017192:Skin Diseases, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014657:Vasculitis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology