Year: 2024
Type: article
Study design: Case Report
Abstract: A 34-year-old White male presented with a persistent rash on the lower extremities characterized by erythema, liquid drainage, and severe burning pain. Initially misattributed to contact dermatitis, the condition worsened despite treatment with prednisone and doxycycline. Leukocytoclastic vasculitis (LCV) was confirmed via punch biopsy. The patient’s treatment involved conservative measures, systemic prednisone therapy, doxycycline, and later adjunctive dapsone. Nevertheless, the patient developed secondary bacterial infection with methicillin-sensitive Staphylococcus aureus and Pseudomonas aeruginosa. This case highlights an uncommon presentation of idiopathic LCV that led to sepsis and reviews management for persistent vasculitis.
Source: Cureus
DOI: 10.7759/cureus.70051
Authors: Jena Jacobs, Joseph Norman, Stephen Verral
Institution: A.T. Still University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4402783932