Speaker Credentials
MS-III
Speaker Credentials
BS
College
College of Allopathic Medicine
Medical Specialty
Internal Medicine
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
2
Abstract
Feeling Rash?
Melanio Rodriguez, MD1, Erica Peiper, DO2, Ana Angeli3, Nisha Chachad3, Fernando Frias-Grishko1, MD, Jose Gonzalez-Pantaleon, MD1
1Internal Medicine, HCA Florida Kendall Hospital 2Anesthesiology, HCA Florida Kendall Hospital 3Class of 2026, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine Introduction: Our objective is to discuss a diagnostic approach for a maculopapular rash in an adult male with no past medical history or recent history of infection. This was a case where a wide differential was key to the diagnosis of the patient, as IgA vasculitis is rare in the adult population. Case Presentation: A 36 year-old male presented to the ED with a chief complaint of a rash on bilateral lower extremities of 3 days duration. The patient recently traveled to Colombia, had dental work, and had an insect bite on his lower extremity. The rash was initially itchy, began burning, and became painful to touch. He had no other complaints. Vital signs were stable and physical exam was positive only for a maculopapular rash covering 6% TBSA. Discussion: His CBC showed a leukocytosis with a normal platelet count. His BMP showed normal kidney and liver function. ESR and CRP were elevated. Immunological testing was negative for pANCA, cANCA, and ANA. Hepatitis and treponema pallidum serologies were negative. Echocardiogram did not find any valvular vegetations. Full-thickness punch biopsies were taken of each lower extremity, which demonstrated leukocytoclastic vasculitis positive for IgA vasculitis. Deviation from the Expected: Incidence of IgA vasculitis in adults is 1/100,000. Conclusion: In this case, we discussed a thorough diagnostic approach for an adult with a maculopapular rash which led to the rare finding of IgA vasculitis. It is essential to identify these patients, as any renal involvement requires early intervention to improve outcomes.
Feeling Rash?
Feeling Rash?
Melanio Rodriguez, MD1, Erica Peiper, DO2, Ana Angeli3, Nisha Chachad3, Fernando Frias-Grishko1, MD, Jose Gonzalez-Pantaleon, MD1
1Internal Medicine, HCA Florida Kendall Hospital 2Anesthesiology, HCA Florida Kendall Hospital 3Class of 2026, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine Introduction: Our objective is to discuss a diagnostic approach for a maculopapular rash in an adult male with no past medical history or recent history of infection. This was a case where a wide differential was key to the diagnosis of the patient, as IgA vasculitis is rare in the adult population. Case Presentation: A 36 year-old male presented to the ED with a chief complaint of a rash on bilateral lower extremities of 3 days duration. The patient recently traveled to Colombia, had dental work, and had an insect bite on his lower extremity. The rash was initially itchy, began burning, and became painful to touch. He had no other complaints. Vital signs were stable and physical exam was positive only for a maculopapular rash covering 6% TBSA. Discussion: His CBC showed a leukocytosis with a normal platelet count. His BMP showed normal kidney and liver function. ESR and CRP were elevated. Immunological testing was negative for pANCA, cANCA, and ANA. Hepatitis and treponema pallidum serologies were negative. Echocardiogram did not find any valvular vegetations. Full-thickness punch biopsies were taken of each lower extremity, which demonstrated leukocytoclastic vasculitis positive for IgA vasculitis. Deviation from the Expected: Incidence of IgA vasculitis in adults is 1/100,000. Conclusion: In this case, we discussed a thorough diagnostic approach for an adult with a maculopapular rash which led to the rare finding of IgA vasculitis. It is essential to identify these patients, as any renal involvement requires early intervention to improve outcomes.