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Henoch-Schönlein purpura presenting with anuria in an adult
Jessica A Weiser1, Heather D Rogers, Michael B Stokes
1Department of Dermatology, Columbia University Medical Center, New York, New York, USA.
Abstract:
Henoch-Schönlein purpura (HSP) is an immune complex-mediated systemic small vessel vasculitis that is most commonly described in children but may affect patients of any age. Our patient, a 91-year-old man, presented with anuria caused by IgA-mediated nephropathy; he later developed cutaneous leukocytoclastic vasculitis, thereby meeting the criteria for a diagnosis of HSP. This case is unique because of the patient's initial presentation with anuria, the possible underlying malignancy associated with his HSP, and his advanced age.
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