Open AccessHenoch-Schonlein purpura presenting sequentially as nodular rash, erythema nodosum, and palpable purpura
Author(s) -
Kandan Balamurugesan,
Stalin Viswanathan
Publication year - 2014
Publication title -
journal of family and community medicine/maǧalaẗ ṭib al-usraẗ wa al-muǧtamaʼ
Language(s) - English
Resource type - Journals
eISSN - 2229-340X
pISSN - 1319-1683
DOI - 10.4103/2230-8229.128788
Subject(s) - medicine , purpura (gastropod) , rash , erythema nodosum , dermatology , henoch schonlein purpura , erythema , abdominal pain , microscopic hematuria , palpable purpura , pathology , surgery , vasculitis , proteinuria , ecology , disease , biology , kidney
We describe a 26-year-old woman who presented with a nodular rash on the elbows following an insect bite. Two days later, she developed erythema nodosum. Both these lesions were treated symptomatically. One week later, she had purpura, abdominal pain, hematuria, and arthralgias, following which steroids were administered. Her investigations revealed only microscopic hematuria that disappeared with therapy. This pattern of sequential appearance of rash and a nodular morphology are both unique features not previously reported.