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Henoch-Schönlein purpura: a possible complication of hepatitis C related liver cirrhosis
  1. D L Madison1,
  2. E Allen2,
  3. A Deodhar2,
  4. L Morrison3
  1. 1Department of Medicine, Division of Endocrinology and Metabolism, Oregon Health Sciences University, Portland OR 97201, USA
  2. 2Department of Medicine, Division of Arthritis and Rheumatological Disease, Oregon Health Sciences University
  3. 3Department of Medicine, Division of Dermatology, Oregon Health Sciences University
  1. Correspondence to:
    Dr Madison;
    madisond{at}ohsu.edu

https://doi.org/10.1136/ard.61.3.281-a

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    Henoch-Schönlein purpura (HSP) is a systemic small vessel vasculitis predominantly affecting children and, less commonly, adults. Classical HSP includes a tetrad of palpable purpura, arthritis, abdominal pain, and glomerulonephritis. Adults may present with any two of the four criteria in the tetrad (87% sensitivity and specificity). Gastrointestinal disease has been recorded in up to 82% of adult patients in one series1 and is usually self limiting with colicky abdominal pain, but may progress to ischaemic bowel perforation.2

    We present the case of a 63 year old man with IgA vasculitis, probably HSP, confounded by undiagnosed hepatitis C related cirrhosis.

    He was admitted with a two week history of dyspnoea, malaise, cough, fevers, and chills, myalgias, one day of a non-blanching erythematous rash on his legs, and an ileus. His hepatitis …

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