Vasculitis, Leukocytoclastic, Vasculitis, Leukocytoclastic, Post Streptococcal - DermAtlas

Contributor

Alison Young, MD

Diagnosis

vasculitis, leukocytoclastic vasculitis, leukocytoclastic, post streptococcal

Body Site

leg thigh

Age

32 weeks

Pigmentation

light

Organization

confluent

Color

purple

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

A 32-year-old man with Streptococcus viridans subacute bacterial endocarditis had a two-week history of palpable purpura on lower extremities and hematuria. Direct immunofluorescence of the skin biopsy showed IgA, IgG, IgM and complement deposition. Renal biopsy showed crescenteric glomerulonephritis, with absence of IgA deposition.

Description

3 mm-1 cm purpuric papules some confluent in linear plaques

Image Added

5/2/2004 21:00:17

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Other Resources

PubMed Medline Plus Medscape

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