Abstract
A 30-year-old man presented with fever, hepatosplenomegaly, and a rash over his lower limbs (palpable purpura). Evaluation revealed pancytopenia and hypergammaglobulinemia. A subsequent bone marrow examination and serology confirmed visceral leishmaniasis (kala-azar), while the biopsy of skin lesion suggested leukocytoclastic vasculitis. No alternate cause of vasculitis was forthcoming, and the patient was treated with conventional amphotericin B for 14 days after which resolution of symptoms (including the rash) was noted. Cutaneous vasculitis is an extremely rare complication following visceral leishmaniasis with no known cases reported thus far. Hence, a high index of suspicion is warranted in achieving timely diagnosis and initiation of appropriate therapy.
Keywords
Publication details
- DOI
- 10.5001/omj.2019.11
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Chhabria, B. A., Nampoothiri, R. V., Rajpal, S., Gupta, K., & Jain, S. (2019). Rare Association of Leukocytoclastic Vasculitis in Visceral Leishmaniaisis. Oman Medical Journal. https://doi.org/10.5001/omj.2019.11
MLA 9
Chhabria, Bharath A, et al. "Rare Association of Leukocytoclastic Vasculitis in Visceral Leishmaniaisis." Oman Medical Journal, 2019. https://doi.org/10.5001/omj.2019.11.
Chicago (author–date)
Chhabria, Bharath A, Ram V. Nampoothiri, Sweta Rajpal, Kirti Gupta, and Sanjay Jain. 2019. "Rare Association of Leukocytoclastic Vasculitis in Visceral Leishmaniaisis." Oman Medical Journal. https://doi.org/10.5001/omj.2019.11.
Harvard
Chhabria, B. A., Nampoothiri, R. V., Rajpal, S., Gupta, K. and Jain, S. (2019) 'Rare Association of Leukocytoclastic Vasculitis in Visceral Leishmaniaisis', Oman Medical Journal. doi:10.5001/omj.2019.11.
Vancouver
Chhabria BA, Nampoothiri RV, Rajpal S, Gupta K, Jain S. Rare Association of Leukocytoclastic Vasculitis in Visceral Leishmaniaisis. Oman Medical Journal. 2019. doi:10.5001/omj.2019.11
IEEE
B. A. Chhabria, R. V. Nampoothiri, S. Rajpal, K. Gupta, and S. Jain, "Rare Association of Leukocytoclastic Vasculitis in Visceral Leishmaniaisis," Oman Medical Journal, 2019, doi: 10.5001/omj.2019.11.