Article: IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
Abstract:
IgA vasculitis (previously known as Henoch-schonlein purpura) is a systemic vasculitis which is more common in children than in adults. The classical triad clinically suggests the diagnosis includes purpuric rash, arthritis and abdominal pain. We report a case of a forty-seven-year-old male presented with an acute abdomen to a gastro-surgeon, and on exploratory laparotomy, multiple petechial lesions were found on the entire intestinal walls. Multiple petechiae were present over both the legs and hands as well, which prompted a dermatological consult, and the diagnosis of IgA vasculitis was confirmed with histopathological and immunofluorescence evaluation of the skin lesions.
Author Biographies
Pooja Agarwal, Smt N.H.L. Medical College, Ahmedabad, India
Associate Professor, Department of Dermatology, Smt N.H.L. Medical College, Ahmedabad, India
Harsh Shah, Apollo Hospitals, Ahmedabad, India
Consultant gastrosurgeon, Apollo Hospitals, Ahmedabad, India
Jay Shah, Vedant Kidney and Skin clinic, Ahmedabad, India
Consultant Nephrologist and transplant physician, Vedant kidney and Skin clinic, Ahmedabad, India
Malhar Shah, Smt N.H.L. Medical College, Ahmedabad, India
Senior resident,Department of Dermatology, Smt N.H.L. Medical College, Ahmedabad, India
Kalgi Baxi, Smt N.H.L. Medical College, Ahmedabad, India
Assistant Professor, Department of Dermatology, Smt N.H.L. Medical College, Ahmedabad, India
Keywords
Abdominal pain, Acute renal failure, Henoch Schonlein purpura, IgA vasculitis, Petechiae
Identifier
https://doi.org/10.3126/njdvl.v22i2.64152
Citation
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