Open AccessPulmonary embolism as the primary presentation of IgA vasculitis
Author(s) -
Osama Mosalem,
Nora Hernandez Garcilazo,
Yehia Saleh,
Fawzi Abu Rous
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-235884
Subject(s) - medicine , rash , pulmonary embolism , vasculitis , emergency department , skin biopsy , shock (circulatory) , presentation (obstetrics) , dermatology , radiology , biopsy , cardiology , disease , psychiatry
A 47-year-old man presented to the emergency department with acute onset of dyspnoea and a week history of painful erythematous rash on both of his legs. CT angiogram of the chest showed saddle pulmonary embolism resulting in right ventricular strain and obstructive shock. Due to the atypical nature of his skin rash, a skin biopsy from one of these lesions was done and came consistent with the diagnosis of IgA vasculitis.