[Polyarthralgia, fever and purpura in a patient known to have splenomegaly].
A 43-year-old patient was admitted for swollen and painful ankles, knees and elbows, palpable purpura of the lower extremities and fever. Splenomegaly had been diagnosed 5 years previously. At clinical workup, spleen and liver size were increased and purplish papular skin lesions were noted above the ankles. Erythrocyte sedimentation rate was 2 mm/h. ASAT and ALAT as well as rheumatoid factor were moderately elevated. Serology was positive for hepatitis C. Differential diagnosis of palpable purpura and complementary diagnostic procedures are discussed.
Spertini
F
F
Division d'immunologie et d'allergie, Centre hospitalier universitaire vaudois, Lausanne.
Delacrétaz
F
F
Thiébaud
T
T
Genton
C Y
CY
D000328:Adult; D018771:Arthralgia / Q000209:etiology*; D001855:Bone Marrow Diseases / Q000175:diagnosis; D006526:Hepatitis C / Q000175:diagnosis; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis*; D016393:Lymphoma, B-Cell / Q000150:complications / Q000175:diagnosis*; D008297:Male; D011693:Purpura / Q000209:etiology*; D013163:Splenomegaly / Q000150:complications*
Polyarthralgies, fièvre et purpura chez un patient connu pour une splénomégalie.