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Published on: February 8, 2019
Adult-Onset Immunoglobulin A Vasculitis
Matthew Chadwick1, Leonid Shamban2, John Macksood3
1Department of Gastroenterology, Ascension Genesys Hospital, Grand Blanc, MI.
Abstract:
Immunoglobulin A vasculitis (IgAV), formerly Henoch-Schönlein purpura vasculitis, is a vasculitis commonly seen in children and only rarely described in adult patients. IgAV can present as arthralgia, rash, discolored urine, acute kidney injury, and gastrointestinal symptoms. We present a case of a 56-year-old man who presented with 1 month of worsening abdominal pain followed by a bilateral lower extremity rash. Laboratory evaluation indicated an acute kidney injury. Computed tomography and colonoscopy revealed terminal ileitis while kidney biopsy confirmed a diagnosis of IgAV.
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