title: Nafcillin implicated in a case of cutaneous and gastrointestinal leukocytoclastic vasculitis.
abstract: Leukocytoclastic vasculitis (LV) is a rare hypersensitive reaction involving the small vessels, which is usually mediated by drugs. Very few cases of nafcillin -associated LV have been reported. Here, we reported a case of LV with the presentation of skin rashes and gastrointestinal bleeding after receiving nafcillin, evidenced by endoscopy and skin biopsy. The symptoms resolved after withdrawal of nafcillin and the addition of prednisone treatment. LV should be considered in the differential diagnosis of erythematous rash, especially with gastrointestinal symptoms after the exposure.
authors.affiliation: Vidant Medical Center, Internal Medicine Residency Program, East Carolina University , Greenville, USA .
authors.forename: Changqing
authors.initials: C
authors.lastname: Xie
authors.affiliation: Vidant Medical Center, Internal Medicine Residency Program, East Carolina University , Greenville, USA .
authors.forename: Suchita S
authors.initials: SS
authors.lastname: Pancholi
authors.affiliation: Clinical Associate Professor, Internal Medicine Residency Program, East Carolina University , Greenville, USA .
authors.forename: Niti
authors.initials: N
authors.lastname: Armistead
keywords: Biopsy; Endoscopy; Gastrointestinal; Hypersensitive