Work

A Woman With a Rash and Abdominal Pain

Year: 2026

Type: article

Abstract: A 43-year-old woman presented to the emergency department (ED) with 4 days of progressive rash and lower extremity pain. Two days prior, she had presented a different ED for evaluation of this rash, as well as for 3 days of transient diffuse abdominal pain that preceded the rash. During the first visit, laboratory evaluation revealed an isolated acute kidney injury (AKI), and computed tomography of her abdomen and pelvis demonstrated mesenteric lymphadenopathy. On her second visit, examination revealed palpable nonblanching purpura predominantly involving the lower extremities (Fig 1), buttocks (Fig 2), torso, and upper extremities.

Source: Journal of the American College of Emergency Physicians Open

DOI: 10.1016/j.acepjo.2026.100406

Authors: Christopher Millman, Stefan Balestra

Institution: Brown University

Language: English

Topic: Vasculitis and related conditions

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,600