title: Aspirin induced leukocytoclastic vasculitis, lower gastrointestinal hemorrhage and acute renal failure (mimicking systemic vasculitis).
abstract: This is a case of a 60-year-old gentleman who presented with an extensive cutaneous vasculitic rash (leukocytoclastic) with lower gastrointestinal bleeding following a small dose of aspirin (81 mg). The aspirin was stopped immediately. Three weeks later, he had acute renal failure, which was initially thought to be secondary to systemic vasculitis, but proved to be acute renal tubular necrosis as a delayed reaction to aspirin.
authors.affiliation: Department of Medicine, Division of Rheumatology, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. alokaily@yahoo.com
authors.forename: Fahdah A
authors.initials: FA
authors.lastname: Alokaily
authors.forename: Mushabab
authors.initials: M
authors.lastname: Alghamdi
authors.forename: Ahmad S
authors.initials: AS
authors.lastname: Almalki
authors.forename: Hussa
authors.initials: H
authors.lastname: Alhussaini
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications* / Q000175:diagnosis; D001241:Aspirin / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D018366:Vasculitis, Leukocytoclastic, Cutaneous / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis
chemical_list: D001241:Aspirin