Case Report on Henoch-Schonlein Purpura Vasculitis

Abstract

Henoch-Schonlein purpura is a type III hypersensitivity leukocytoclastic small vessel vasculitis caused by the IgA-immune complex that primarily affects children and has the potential to escalate to many complications. A female patient of age 17 years came with the complaint of asymptomatic red rashes over their left lower leg since 3 weeks back. It soon involved the other leg within 3-4 days. Also Associated ankle pain. on clinical examination Pulse Rate-86/min, BP-120/80 mm/Hg, RR-20/minute, non-pitting edema and palpable purpura of bilateral lower legs and few over the thighs. skin biopsy was done, also received fresh tissue for IF, which shows 1-granular IgA along upper dermal vessels, she was given Tab. Augmentin 625mg, Tab. Colchicine 500 mcg, Mupimet ointment and other supportive measures for two days. When the patient's condition improved, discharged with medication Tab. Augmentin 625mg, Tab. pantoprazole 40mg, Mupimet ointment each for 4 days and Tab. colchicine 500mcg for 7 days with advice to review in dermatology OPD and rheumatology OPD with prior appointment after one week. Continued collaboration and knowledge-sharing within the medical community will ultimately improve patient outcomes and contribute to the advancement of care for individuals affected by this rare vasculitis disorder.