Palpable purpura and uveitis precipitated by splenectomy in an atypical case of Cogan's syndrome.
A patient with a baffling multisystem illness developed uveitis and palpable purpura shortly after a splenectomy, leading to the diagnosis of vasculitis. Clearance by the mononuclear phagocyte system is a key factor determining the pathogenicity of circulating immune complexes, which are known to be the cause of some forms of vasculitis. The sudden appearance of uveitis and cutaneous vasculitis in an illness of many years' duration was probably a direct result of removal of the spleen.
Rheumatology Section, Boston Veterans Administration Medical Center, MA.
J R
JR
Wohlgethan
M M
MM
Stilmant
H R
HR
Smith
D006311:Hearing Disorders / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011241:Prednisone / Q000627:therapeutic use; D011693:Purpura / Q000188:drug therapy / Q000209:etiology*; D013156:Splenectomy / Q000009:adverse effects*; D013157:Splenic Artery / Q000473:pathology; D013577:Syndrome; D014605:Uveitis / Q000188:drug therapy / Q000209:etiology*
D011241:Prednisone