European Journal of Case Reports in Internal Medicine (Apr 2024)

Annular leukocytoclastic vasculitis: a new feature of IgA vasculitis

  • Nabil Belfeki,
  • Nouha Ghriss,
  • Sonia Kammoun,
  • Souheil Zayet,
  • Cyrus Moini,
  • Benjamin Terrier

DOI
https://doi.org/10.12890/2024_004278

Abstract

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Background: Annular erythema is a rare manifestation of leukocytoclastic vasculitis. It may be associated with various drugs, infections, malignancies, or systemic diseases. Case description: A 36-year-old woman with no personal medical history presented with annular erythema with target lesions and petechial purpura. The patient had fever and joint arthralgia. A skin biopsy showed leukocytoclastic vasculitis with IgA deposits on direct immunofluorescence. The diagnosis of immunoglobulin A vasculitis with annular leukocytoclastic vasculitis was made. The patient showed global improvement with topical steroids without relapse. Conclusion: An annular variant of leukocytoclastic vasculitis is a rare manifestation of immunoglobulin A vasculitis.

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