Thursday, January 5, 2012

Fever with rash

This patient presented with one day history of fever, acute painful symmetric polyarthritis, abdominal pain and hematemesis. What is the diagnosis?



a) Bacterial Endocarditis
b) Henoch-Schonlein purpura
c) Purpura fulminans
d) Rheumatic Fever
e) Rocky mountain spotted fever


Answer is : Henoch Schonlein Pupura

It is acute Immunoglobulin A (IgA) mediated leukocytoclastic vasculitis associated with cutaneous purpura, arthritis, abdominal pain, gastrintestinal bleeding, orchitis and nephritis.

The diagnosis was confirmed by biopsy in this case.

Patient recovered with supportive care.

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