Palpable purpura, polyarthritis and abdominal pain.
We report a patient who presented with a purpuric rash and polyarthritis, but IgA deposits were not found in the skin. Abdominal pain and renal disease first emerged 1 and 2 weeks, respectively, after presentation, to reveal the classic tetrad of Henoch-Schönlein purpura. Our patient emphasises the need for careful follow-up in patients with cutaneous vasculitis, as they may develop systemic manifestations, of which renal involvement, particularly, may be asymptomatic.
Mukhopadhyay
Surabhi
S
Department of Medicine, State University of New York, Upstate Medical University, Syracuse, NY 13210, USA. mukhopsu@upstate.edu
Mousa
Soha
S
George
Biby R
BR
Perl
Andras
A
D015746:Abdominal Pain / Q000209:etiology; D017668:Age of Onset; D001168:Arthritis / Q000209:etiology*; D005921:Glomerulonephritis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D007070:Immunoglobulin A / Q000097:blood; D008297:Male; D008875:Middle Aged
D007070:Immunoglobulin A