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Granulomatosis With Polyangiitis in an Autistic Patient With Depression: Challenges in Diagnosis and Management.
Cureus
November 2024
Rheumatology, University Hospital of North Durham, Durham, GBR.
A male patient in his 30s with autism and depression presented to the emergency department with joint pain, a petechial/purpuric rash, sputum production, hemoptysis, and epistaxis. His mother reported a family history of autoimmune conditions. Examination revealed a non-blanching petechial/purpuric rash and tenderness in the feet and ankles.
View Article and Find Full Text PDFAn Unusual Complication of Lisinopril: A Report of Iatrogenic Henoch-Schönlein Purpura.
Cureus
August 2024
Internal Medicine, Unidade Local de Saúde Viseu Dão-Lafões, Viseu, PRT.
Article Synopsis
- Henoch-Schönlein purpura (HSP) is a type of vasculitis that causes skin rashes, joint pain, abdominal issues, and can affect the kidneys.
- A 41-year-old man was diagnosed with HSP after experiencing purplish skin lesions and abdominal pain, with tests showing no low platelet count but some blood in his urine.
- His HSP was linked to recent use of the medication lisinopril, and after stopping the medication and starting corticosteroids, his condition improved significantly.
Exploring the Diagnostic Odyssey of IgA Vasculitis.
Cureus
August 2024
Internal Medicine Department, Unidade Local de Saúde de São João, Porto, PRT.
Article Synopsis
- IgA vasculitis primarily affects children but can cause more severe issues in adults, including a higher risk of chronic kidney disease (CKD).
- A case involving a 77-year-old man revealed symptoms like a painful rash, weight loss, and worsening kidney function, initially misdiagnosed as a urinary infection.
- The report emphasizes the importance of timely organ biopsies for diagnosis and highlights the challenges of confirming the condition through histological means.
Rheumatoid Vasculitis Involving Gastrointestinal Tract Pre-dating Rheumatoid Arthritis: A Case Study and Literature Review.
Cureus
August 2024
Internal Medicine, Mamata Academy of Medical Sciences, Hyderabad, IND.
Article Synopsis
- Rheumatoid vasculitis (RV) is a rare but serious complication of rheumatoid arthritis that involves inflammation of small and medium-sized blood vessels.
- A 34-year-old male with chronic alcoholism presented with symptoms like epigastric pain and joint swelling, initially raising concerns for different conditions before being diagnosed with RV.
- The patient showed significant improvement after treatment with intravenous hydrocortisone, highlighting the importance of recognizing the potential for gastrointestinal involvement in RV and the need for early diagnosis and intervention in such cases.
Steroid-Dependent Recurrent IgA Vasculitis in a 19-Year-Old Woman.
HCA Healthc J Med
August 2024
Menorah Medical Center, Overland Park, KS.
Article Synopsis
- IgA vasculitis usually affects children and often resolves on its own, but it can be severe and recurring in adults.
- A case study describes a 19-year-old woman with a history of IgA vasculitis who experienced a painful rash and proteinuria, requiring high doses of steroids for treatment.
- Research suggests that while corticosteroids are often used, they may not help with long-term outcomes, and alternative steroid-sparing treatments might be more effective for recurrent cases.
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