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Background: Hypergammaglobulinemic purpura of Waldenström (HGPW), a rare cutaneous eruption characterized by the triad of recurrent episodes of lower extremity petechiae, symptoms of stinging and burning, and lower extremity edema, is poorly described in children. Some children have been reported to follow a benign course, while others are eventually diagnosed with fulminant rheumatologic disease.

Objectives: To determine the distinguishing features of HGPW including the spectrum of disease manifestations and clinical outcomes.

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[Relapsing vascular purpura and Sjögren syndrome: what is the link?].

Pan Afr Med J

September 2016

Service de Médecine Interne, Hôpital Razi, La Manouba 2010, Faculté de médecine de Tunis, Tunisie.

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We report a case of a 33-year-old-woman with a one-year history of bilateral lower extremity vasculitis and laboratory evidence of hypergammaglobulinemia with otherwise unremarkable routine laboratory and rheumatologic studies. Her clinical picture, together with histopathologic evidence of leukocytoclastic vasculitis, favor a diagnosis of hypergammaglobulinemic purpura of Waldenström.

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