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By Joseph Ryan, MD, and Alex Merkulov, MD
History
A 60-year-old man with a personal history of right-sided renal cell carcinoma, status post partial nephrectomy approximately six months prior, presented to the emergency department (ED) with a two-week history of a rash (diffuse palpable purpura) that started on his lower extremities and subsequently moved up to his torso and arms. The patient also reported a two-day history of new-onset abdominal pain, which was progressively worsening. He had no nausea, vomiting, or fever. He was recently evaluated by dermatology, underwent a skin biopsy, and was told that he had immunoglobulin A (IgA) vasculitis. He was completing his prescribed prednisone taper when his abdominal symptoms began. He reported that his skin findings were improving. A contrast-enhanced CT of the abdomen and pelvis was obtained to investigate the etiology of the patient’s new-onset abdominal pain. Continue reading »
History
A 60-year-old man with a personal history of right-sided renal cell carcinoma, status post partial nephrectomy approximately six months prior, presented to the emergency department (ED) with a two-week history of a rash (diffuse palpable purpura) that started on his lower extremities and subsequently moved up to his torso and arms. The patient also reported a two-day history of new-onset abdominal pain, which was progressively worsening. He had no nausea, vomiting, or fever. He was recently evaluated by dermatology, underwent a skin biopsy, and was told that he had immunoglobulin A (IgA) vasculitis. He was completing his prescribed prednisone taper when his abdominal symptoms began. He reported that his skin findings were improving. A contrast-enhanced CT of the abdomen and pelvis was obtained to investigate the etiology of the patient’s new-onset abdominal pain. Continue reading »
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