Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis

A 26-year-old male patient presented to our rheumatology clinic with pain, swelling and limitation of movement in his right ankle, and also purpuric skin lesions in the lower extremity pretibial region. He was asked questions, and he said that he had been having chronic low back pain and morning sti...

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Main Authors: Senol Kobak, Hatice Yilmaz, Ahmet Karaarslan, Murat Yalcin
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2014/653837
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author Senol Kobak
Hatice Yilmaz
Ahmet Karaarslan
Murat Yalcin
author_facet Senol Kobak
Hatice Yilmaz
Ahmet Karaarslan
Murat Yalcin
author_sort Senol Kobak
collection DOAJ
description A 26-year-old male patient presented to our rheumatology clinic with pain, swelling and limitation of movement in his right ankle, and also purpuric skin lesions in the lower extremity pretibial region. He was asked questions, and he said that he had been having chronic low back pain and morning stiffness for the last few years. His physical examination revealed that he had arthritis in his right ankle, purpuric skin lesions in pretibial regions of both legs, and bilateral FABERE/FADIR positivity. The sacroiliac joint imaging and MRI revealed bilateral sacroiliitis findings, and the lateral heel imaging revealed enthesitis. HLA-B27 was positive. Skin biopsy from lower skin lesions was reported to be consistent with leukocytoclastic vasculitis. Based on clinical, laboratory, radiological, and pathological examinations, the patient was diagnosed with ankylosing spondylitis and leukocytoclastic vasculitis. Administration of corticosteroid, salazopyrin, and nonsteroid anti-inflammatory medications was started. Notable clinical and laboratory regression was observed during his checks 3 months later.
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spelling doaj-art-2cf7d4a6e56a41a5b6a5052e8a388c402025-02-03T06:42:12ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/653837653837Leukocytoclastic Vasculitis in a Patient with Ankylosing SpondylitisSenol Kobak0Hatice Yilmaz1Ahmet Karaarslan2Murat Yalcin3Department of Rheumatology, Faculty of Medicine, Sifa University, Bornova, 35100 Izmir, TurkeyDepartment of Rheumatology, Faculty of Medicine, Sifa University, Bornova, 35100 Izmir, TurkeyDepartment of Orthopedic Surgery, Faculty of Medicine, Sifa University, Bornova, 35100 Izmir, TurkeyDepartment of Rheumatology, Faculty of Medicine, Sifa University, Bornova, 35100 Izmir, TurkeyA 26-year-old male patient presented to our rheumatology clinic with pain, swelling and limitation of movement in his right ankle, and also purpuric skin lesions in the lower extremity pretibial region. He was asked questions, and he said that he had been having chronic low back pain and morning stiffness for the last few years. His physical examination revealed that he had arthritis in his right ankle, purpuric skin lesions in pretibial regions of both legs, and bilateral FABERE/FADIR positivity. The sacroiliac joint imaging and MRI revealed bilateral sacroiliitis findings, and the lateral heel imaging revealed enthesitis. HLA-B27 was positive. Skin biopsy from lower skin lesions was reported to be consistent with leukocytoclastic vasculitis. Based on clinical, laboratory, radiological, and pathological examinations, the patient was diagnosed with ankylosing spondylitis and leukocytoclastic vasculitis. Administration of corticosteroid, salazopyrin, and nonsteroid anti-inflammatory medications was started. Notable clinical and laboratory regression was observed during his checks 3 months later.http://dx.doi.org/10.1155/2014/653837
spellingShingle Senol Kobak
Hatice Yilmaz
Ahmet Karaarslan
Murat Yalcin
Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis
Case Reports in Rheumatology
title Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis
title_full Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis
title_fullStr Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis
title_full_unstemmed Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis
title_short Leukocytoclastic Vasculitis in a Patient with Ankylosing Spondylitis
title_sort leukocytoclastic vasculitis in a patient with ankylosing spondylitis
url http://dx.doi.org/10.1155/2014/653837
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AT ahmetkaraarslan leukocytoclasticvasculitisinapatientwithankylosingspondylitis
AT muratyalcin leukocytoclasticvasculitisinapatientwithankylosingspondylitis