Abstract

Question: A 36-year-old man presented with loose stool passage and periumbilical pain off and on for 3 months. On examination, well-demarcated purpuric papules and plaques were noted on his extremities. Blood tests for cell count and biochemistry were normal. Occult blood without pus cells was noted in stool. Colonoscopy revealed multiple hemorrhagic, raised, plaque-like erythematous lesions diffusely scattered along the entire colon (Figure A). What is the most likely diagnosis?

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