Granulomatosis with Polyangiitis Misdiagnosed as IgA Vasculitis in a Child.

Case Rep Pediatr

Department of Pediatric Rheumatology, Imam Hussein Children's Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Published: April 2023

Background: Granulomatosis with polyangiitis (GPA) with early manifestations simulating IgA vasculitis is a very rare childhood systemic disease. . A 10-year-old boy presented initially with cutaneous, skeletal, and abdominal signs suggestive of IgA vasculitis. Over time, the worsening of skin ulcers, orchitis, and renal involvement led to the diagnosis of GPA according to cytoplasmic positive antineutrophil cytoplasmic antibodies and renal biopsy.

Conclusion: Clinicians should be awared of the diagnostic pitfalls when making a clinical diagnosis of IgA vasculitis in children older than 7 years.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125763PMC
http://dx.doi.org/10.1155/2023/9950855DOI Listing

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