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Relapsing Henoch-Schönlein purpura associated with Pseudomonas aeruginosa pyelonephritis

C A Egan1, M A O'Reilly, K P Meadows

  • 1Department of Dermatology, University of Utah School of Medicine, and Medicine Service, Section of Dermatology, Salt Lake City Veterans Affairs Medical Center, USA. tegan@box-t.nih.gov

Journal of the American Academy of Dermatology
|January 21, 2000
PubMed

Insights

Henoch-Schönlein purpura, a vasculitis, can be triggered by Pseudomonas infection. Eradicating this bacterial infection led to the remission of Henoch-Schönlein purpura in a recurring case.

Area of Science:

  • Nephrology
  • Rheumatology
  • Infectious Diseases

Background:

  • Henoch-Schönlein purpura (HSP) is a systemic vasculitis often linked to infections.
  • Streptococcal infections are common triggers, but other bacterial agents have been implicated.

Observation:

  • A patient presented with recurrent Henoch-Schönlein purpura.
  • The patient also had a concurrent Pseudomonas pyelonephritis infection.

Findings:

  • The Henoch-Schönlein purpura resolved only after successful eradication of the Pseudomonas infection.
  • This case suggests Pseudomonas infection can trigger Henoch-Schönlein purpura.

Implications:

  • Pseudomonas infection should be considered a potential trigger for Henoch-Schönlein purpura.
  • Understanding infection triggers can improve HSP management and treatment strategies.

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