title: Apurpuric henoch-schönlein vasculitis.
abstract: Case reports of Henoch-Schönlein syndrome invariably note the presence of purpura at the time of the vasculitic syndrome. We document an unusual recurrence of Henoch-Schönlein syndrome in the absence of purpura. A 29-year-old man with a history of Henoch-Schönlein vasculitis with several typical purpuric recurrences was admitted with hemoptysis, pulmonary hemorrhage and no cutaneous lesions. Because he had not had purpura in 3 years, a broad differential diagnosis of hemoptysis was considered. A random skin biopsy showing intravascular immunoglobulin A and C3 deposition helped to confirm an apurpuric recurrence of Henoch-Schönlein vasculitis.
authors.affiliation: Seton Hall University (B.S.M.) and Jersey City Medical Center (A.D.T.), Jersey City, New Jersey 07304.
authors.forename: B S
authors.initials: BS
authors.lastname: Mallat
authors.forename: A D
authors.initials: AD
authors.lastname: Teitel