Four Cancers and a Rash: Henoch–Schönlein Purpura

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Presentation transcript:

Four Cancers and a Rash: Henoch–Schönlein Purpura Richard K. Kim, MD, MSc, Alyssa R. Thomas, BA, Mary Elizabeth Card, MD, Divyanshu Malhotra, MD, Jürgen L. Holleck, MD The American Journal of Medicine Volume 130, Issue 10, Pages 1158-1160 (October 2017) DOI: 10.1016/j.amjmed.2017.06.015 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 1 The patient had dorsal edema and purpura on both hands. The American Journal of Medicine 2017 130, 1158-1160DOI: (10.1016/j.amjmed.2017.06.015) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 2 Multiple palpable purpuric lesions with central serous bullae were scattered on both of the patient's legs. The American Journal of Medicine 2017 130, 1158-1160DOI: (10.1016/j.amjmed.2017.06.015) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 3 Examination of the urine sediment showed red blood cell casts and acanthocytes (arrows). The American Journal of Medicine 2017 130, 1158-1160DOI: (10.1016/j.amjmed.2017.06.015) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 4 Direct immunofluorescence of the biopsy sample taken from the patient's right thigh demonstrated IgA, IgG, C3, and fibrinogen deposition in the dermis. The American Journal of Medicine 2017 130, 1158-1160DOI: (10.1016/j.amjmed.2017.06.015) Copyright © 2017 Elsevier Inc. Terms and Conditions