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Updated: Dec 10, 2025

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Pulmonary embolism as the primary presentation of IgA vasculitis
Osama Mosalem1,2, Nora Hernandez Garcilazo3,2, Yehia Saleh3,4
1Department of Medicine, Michigan State University, East Lansing, Michigan, USA Mosalemo@msu.edu.
Abstract:
A 47-year-old man presented to the emergency department with acute onset of dyspnoea and a week history of painful erythematous rash on both of his legs. CT angiogram of the chest showed saddle pulmonary embolism resulting in right ventricular strain and obstructive shock. Due to the atypical nature of his skin rash, a skin biopsy from one of these lesions was done and came consistent with the diagnosis of IgA vasculitis.
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