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A 20-year-old man was admitted to the hospital with a one-day history of fever and acute, painful symmetric polyarthritis that involved the wrists, elbows, and ankles. During the next two days, edema and palpable purpura developed over the dorsal aspect of the hands and feet (Panels A and B), as well as on the buttocks and legs. Severe abdominal pain with hematemesis developed, along with an increase in liver aminotransferase levels. Henoch–Schönlein purpura was suspected. Computed tomographic scanning of the abdomen revealed edema of the small intestine, a finding consistent with the presence of intestinal vasculitis. Examination of a biopsy . . . [Full Text of this Article] |
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