Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients

We describe the case of a 51-year-old man who presented with a palpable purpuric rash and associated four days of lower gastrointestinal bleeding one month after testing positive for COVID-19. Urine studies showed evidence of microscopic hematuria and an increased protein/creatinine ratio. An abdomi...

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Autores principales: Guifarro, Daniel A, Giron, Roberto, Jimenez, Kathya, Solis Almendarez, Carlos Jose C, Montalvan Sanchez, Eleazar E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729067/
https://www.ncbi.nlm.nih.gov/pubmed/36505137
http://dx.doi.org/10.7759/cureus.31212
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author Guifarro, Daniel A
Giron, Roberto
Jimenez, Kathya
Solis Almendarez, Carlos Jose C
Montalvan Sanchez, Eleazar E
author_facet Guifarro, Daniel A
Giron, Roberto
Jimenez, Kathya
Solis Almendarez, Carlos Jose C
Montalvan Sanchez, Eleazar E
author_sort Guifarro, Daniel A
collection PubMed
description We describe the case of a 51-year-old man who presented with a palpable purpuric rash and associated four days of lower gastrointestinal bleeding one month after testing positive for COVID-19. Urine studies showed evidence of microscopic hematuria and an increased protein/creatinine ratio. An abdominal computed tomography scan showed distal ileitis, and a skin biopsy was significant for IgA vasculitis. Treatment with methylprednisolone was started, which led to the resolution of symptoms. Immunologic consequences of COVID-19 must not be overlooked, as they have a wide variety of presentations in diverse aged populations. IgA vasculitis is uncommon in adults, as well as gastrointestinal bleeding as a complication related to COVID-19.
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spelling pubmed-97290672022-12-08 Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients Guifarro, Daniel A Giron, Roberto Jimenez, Kathya Solis Almendarez, Carlos Jose C Montalvan Sanchez, Eleazar E Cureus Internal Medicine We describe the case of a 51-year-old man who presented with a palpable purpuric rash and associated four days of lower gastrointestinal bleeding one month after testing positive for COVID-19. Urine studies showed evidence of microscopic hematuria and an increased protein/creatinine ratio. An abdominal computed tomography scan showed distal ileitis, and a skin biopsy was significant for IgA vasculitis. Treatment with methylprednisolone was started, which led to the resolution of symptoms. Immunologic consequences of COVID-19 must not be overlooked, as they have a wide variety of presentations in diverse aged populations. IgA vasculitis is uncommon in adults, as well as gastrointestinal bleeding as a complication related to COVID-19. Cureus 2022-11-07 /pmc/articles/PMC9729067/ /pubmed/36505137 http://dx.doi.org/10.7759/cureus.31212 Text en Copyright © 2022, Guifarro et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Guifarro, Daniel A
Giron, Roberto
Jimenez, Kathya
Solis Almendarez, Carlos Jose C
Montalvan Sanchez, Eleazar E
Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients
title Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients
title_full Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients
title_fullStr Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients
title_full_unstemmed Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients
title_short Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients
title_sort gastrointestinal bleeding induced by immunoglobulin a vasculitis on post-mild covid-19 patients
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729067/
https://www.ncbi.nlm.nih.gov/pubmed/36505137
http://dx.doi.org/10.7759/cureus.31212
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