Clinical Case Database / Category: Patient Management
An unusual rash in a young woman - differential diagnosis and management of a vasculitic rash with systemic features
Clive Kelly, MBBS, MD, FRCP
Foundation Years Journal, volume 6, issue 2, p.29 (123Doc Education, London, February 2012)
We present the case of a young lady aged 28 who developed an extensive skin rash over her lower limbs following a viral infection. The features were those of a palpable purpura and were associated with abdominal pain, diarrhoea which became bloody, arthralgia and asymptomatic haematuria. She had a low grade fever and elevated acute inflammatory markers. A clinical diagnosis of Henoch-Schönlein purpura was made and prednisone commenced at the dose of 20mg daily. A rapid symptomatic improvement followed, with resolution of the abdominal pain and diarrhoea, followed by a more gradual reduction in the rash over several weeks.
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Clive Kelly, MBBS, MD, FRCP
Consultant Physician and Rheumatologist, Gateshead
Departments of Medicine and Rheumatology,
Queen Elizabeth Hospital, Sheriff Hill, Gateshead NE9 6SX
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