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Cutaneous Small‐Vessel Vasculitis in Two Children with Inflammatory Bowel Disease: Case Series and Review of the Literature
Author(s) -
Ho Tina,
Orenstein Lauren A.V.,
Boos Markus D.,
White Kevin P.,
Fett Nicole
Publication year - 2017
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.13218
Subject(s) - medicine , vasculitis , inflammatory bowel disease , purpura (gastropod) , ulcerative colitis , abdominal pain , henoch schonlein purpura , dermatology , palpable purpura , disease , gastrointestinal bleeding , pathology , gastroenterology , ecology , biology
Abstract Cutaneous small‐vessel vasculitis ( CSVV ) is an infrequent manifestation of pediatric inflammatory bowel disease ( IBD ). We report two cases of CSVV associated with ulcerative colitis, review the literature, and discuss the diagnostic evaluation of children who present with CSVV and abdominal pain. After excluding more common causes of CSVV and abdominal pain in children, including immunoglobulin A vasculitis (previously Henoch–Schönlein purpura), infectious colitis, and drug‐induced vasculitis, alternative diagnoses such as CSVV secondary to IBD or systemic vasculitis with gastrointestinal involvement must be considered.