HENOCH–SCHONLEIN PURPURA IN A CASE OF DISSEMINATED TUBERCULOSIS - A RARE PRESENTATION

Dr. John Muchahary, Dr Uday C. Kakodkar, Dr Chetan Kerkar, DR. Abhilash Narvenkar

Abstract


Henoch-schonlein purpura (HSP) is an acute, systemic, immune complex mediated, leukocytoclastic vasculitis seen more commonly in children. It presents with the clinical triad of non-thrombocytopenic palpable purpura, arthritis and abdominal pain. We present a case of disseminated tuberculosis associated with HSP in a 57 year old male patient, who developed non-pruritic, painless purpura after six days of anti-tuberculosis treatment. The skin biopsy revealed granular blood vessel wall staining with IgA, C3 and fibrinogen suggestive of HSP. The cutaneous vasculitis in this disappeared with the continuation of anti-tubercular drugs. The association of tuberculosis and HSP is very rare.


Keywords


Henoch-schonlein purpura, turberculosis.

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References


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