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Image Number #870 (Vasculitis)

Diagnosis: Vasculitis

Description: Palpable purpuric rash on legs

Clinical Features: Purpura

Pathology/Site Features: Leg

Sex: M

Age: 74

Submitted By: Ian McColl

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Differential Diagnosis
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History: 0155bg This elderly man with one kidney and recent acute tubular necrosis without an obvious cause , rapidly developed this vasculitic rash on his legs. Probable leukocytoclastic vasculitis but immunofluorescence requested to exclude IgA nephropathy. May be drug induced

Description: Leukocytoclastic vasculitis

Comments: Sections show a mild to moderate subacute vasculitis with both leukocytoclasis and admixed eosinophils and a few lymphocytes. There is red cell extravasation. There are no epidermal changes.

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