IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency

IgA vasculitis (previously known as Henoch-schonlein purpura) is a systemic vasculitis which is more common in children than in adults. The classical triad clinically suggests the diagnosis includes purpuric rash, arthritis and abdominal pain. We report a case of a forty-seven-year-old male present...

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Main Authors: Pooja Agarwal, Harsh Shah, Jay Shah, Malhar Shah, Kalgi Baxi
Format: Article
Language:English
Published: Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON) 2024-10-01
Series:Nepal Journal of Dermatology, Venereology & Leprology
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Online Access:https://nepjol.info/index.php/NJDVL/article/view/64152
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author Pooja Agarwal
Harsh Shah
Jay Shah
Malhar Shah
Kalgi Baxi
author_facet Pooja Agarwal
Harsh Shah
Jay Shah
Malhar Shah
Kalgi Baxi
author_sort Pooja Agarwal
collection DOAJ
description IgA vasculitis (previously known as Henoch-schonlein purpura) is a systemic vasculitis which is more common in children than in adults. The classical triad clinically suggests the diagnosis includes purpuric rash, arthritis and abdominal pain. We report a case of a forty-seven-year-old male presented with an acute abdomen to a gastro-surgeon, and on exploratory laparotomy, multiple petechial lesions were found on the entire intestinal walls. Multiple petechiae were present over both the legs and hands as well, which prompted a dermatological consult, and the diagnosis of IgA vasculitis was confirmed with histopathological and immunofluorescence evaluation of the skin lesions.
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institution Kabale University
issn 2091-0231
2091-167X
language English
publishDate 2024-10-01
publisher Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
record_format Article
series Nepal Journal of Dermatology, Venereology & Leprology
spelling doaj-art-b5f5d0e3a10d43599a7b36687d9b81012025-08-24T10:05:31ZengSociety of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)Nepal Journal of Dermatology, Venereology & Leprology2091-02312091-167X2024-10-01222IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical EmergencyPooja Agarwal0https://orcid.org/0000-0001-8765-5795Harsh Shah1Jay Shah2Malhar Shah3Kalgi Baxi4Smt N.H.L. Medical College, Ahmedabad, IndiaApollo Hospitals, Ahmedabad, IndiaVedant Kidney and Skin clinic, Ahmedabad, IndiaSmt N.H.L. Medical College, Ahmedabad, IndiaSmt N.H.L. Medical College, Ahmedabad, India IgA vasculitis (previously known as Henoch-schonlein purpura) is a systemic vasculitis which is more common in children than in adults. The classical triad clinically suggests the diagnosis includes purpuric rash, arthritis and abdominal pain. We report a case of a forty-seven-year-old male presented with an acute abdomen to a gastro-surgeon, and on exploratory laparotomy, multiple petechial lesions were found on the entire intestinal walls. Multiple petechiae were present over both the legs and hands as well, which prompted a dermatological consult, and the diagnosis of IgA vasculitis was confirmed with histopathological and immunofluorescence evaluation of the skin lesions. https://nepjol.info/index.php/NJDVL/article/view/64152Abdominal painAcute renal failureHenoch Schonlein purpuraIgA vasculitisPetechiae
spellingShingle Pooja Agarwal
Harsh Shah
Jay Shah
Malhar Shah
Kalgi Baxi
IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
Nepal Journal of Dermatology, Venereology & Leprology
Abdominal pain
Acute renal failure
Henoch Schonlein purpura
IgA vasculitis
Petechiae
title IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
title_full IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
title_fullStr IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
title_full_unstemmed IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
title_short IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency
title_sort iga vasculitis mimicking obstructed umbilical hernia and presenting as gastrosurgical emergency
topic Abdominal pain
Acute renal failure
Henoch Schonlein purpura
IgA vasculitis
Petechiae
url https://nepjol.info/index.php/NJDVL/article/view/64152
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AT jayshah igavasculitismimickingobstructedumbilicalherniaandpresentingasgastrosurgicalemergency
AT malharshah igavasculitismimickingobstructedumbilicalherniaandpresentingasgastrosurgicalemergency
AT kalgibaxi igavasculitismimickingobstructedumbilicalherniaandpresentingasgastrosurgicalemergency