tetano
Editor, Senior Moderator
Cureus
. 2023 Jul 18;15(7):e42063.
doi: 10.7759/cureus.42063. eCollection 2023 Jul. A Rare Complication of Henoch-Schönlein Purpura/IgA Vasculitis in an Adult Woman After COVID-19 Infection
Man-Kuang Chang[SUP] 1 [/SUP], Leonardo Chang[SUP] 2 [/SUP], Hsiao-Yen Kuo[SUP] 3 [/SUP], Carlos A Arango[SUP] 4 [/SUP]
Affiliations
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect multiple organs due to activation of an inflammatory response. One of the key components of this response is the activation of immunoglobulin A (IgA), thus causing endothelial injury and inflammation. Henoch-Schönlein purpura (HSP) has been rarely reported in adult patients as a complication of the coronavirus disease 2019 (COVID-19) infection. In this report, we present a case of HSP occurring one week after the diagnosis of COVID-19 in a 23-year-old woman. Her symptoms included nausea, vomiting, diffused abdominal pain, joint pain, hematuria, and palpable purpura of the lower extremities. She was treated with intravenous methylprednisolone sodium succinate, followed by oral prednisone therapy, which resulted in clinical improvement, including resolution of abdominal and joint pain as well as skin rashes, without remaining renal complication.
Keywords: covid; covid-19; gross hematuria; henoch-schönlein purpura; hsp; iga vasculitis; igav; immunoglobulin a; palpable purpura.
. 2023 Jul 18;15(7):e42063.
doi: 10.7759/cureus.42063. eCollection 2023 Jul. A Rare Complication of Henoch-Schönlein Purpura/IgA Vasculitis in an Adult Woman After COVID-19 Infection
Man-Kuang Chang[SUP] 1 [/SUP], Leonardo Chang[SUP] 2 [/SUP], Hsiao-Yen Kuo[SUP] 3 [/SUP], Carlos A Arango[SUP] 4 [/SUP]
Affiliations
- PMID: 37602083
- PMCID: PMC10433697
- DOI: 10.7759/cureus.42063
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect multiple organs due to activation of an inflammatory response. One of the key components of this response is the activation of immunoglobulin A (IgA), thus causing endothelial injury and inflammation. Henoch-Schönlein purpura (HSP) has been rarely reported in adult patients as a complication of the coronavirus disease 2019 (COVID-19) infection. In this report, we present a case of HSP occurring one week after the diagnosis of COVID-19 in a 23-year-old woman. Her symptoms included nausea, vomiting, diffused abdominal pain, joint pain, hematuria, and palpable purpura of the lower extremities. She was treated with intravenous methylprednisolone sodium succinate, followed by oral prednisone therapy, which resulted in clinical improvement, including resolution of abdominal and joint pain as well as skin rashes, without remaining renal complication.
Keywords: covid; covid-19; gross hematuria; henoch-schönlein purpura; hsp; iga vasculitis; igav; immunoglobulin a; palpable purpura.