An Unusual Clinical Presentation of Immunoglobulin A Vasculitis in an Elderly Patient

Curēus
Akudo U AnokwuteNkechi C Arinze

Abstract

Immunoglobulin A (IgA) vasculitis (IgAV), also known as Henoch-Schonlein purpura, is an IgA-mediated leukocytoclastic vasculitis predominantly affecting the gastrointestinal tract, kidneys, and skin. IgAV appears to be more common in children and is relatively rare in the adult population. We describe a case of a 72-year-old man who presented with bilateral lower extremity swelling, nausea, vomiting, abdominal pain, and weight loss, in which a diagnosis of IgAVs was established with a skin biopsy. This case highlights a rare and unusual clinical presentation of IgAV in an older patient and the need for prompt diagnosis and treatment.

References

Feb 15, 2001·Archives of Dermatology·R McCarthyS S Raimer
Jun 19, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Holger H LutzPeter R Mertens
Sep 19, 2012·Seminars in Arthritis and Rheumatism·Srinivas RajagopalaIsha Garg
Oct 10, 2012·Arthritis and Rheumatism·J C JennetteR A Watts
Feb 27, 2017·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Jun 14, 2017·JAMA : the Journal of the American Medical Association·Nathalie E ChalhoubVivek Nagaraja
Nov 9, 2017·International Journal of Rheumatic Diseases·Vikas GuptaRamnath Misra
Dec 28, 2017·Internal Medicine·Shuji OtaNobuhiko Seki
Feb 14, 2019·European Journal of Case Reports in Internal Medicine·Javier Moreno DíazGonzalo Acebes Repiso

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Methods Mentioned

BETA
ESR
biopsy

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