Peterson Ethan J, Jackson Jordan, Zaidi Syed M, Perez Jorge
HCA Florida Brandon Hospital, Brandon, FL.
HCA Healthc J Med. 2023 Aug 29;4(4):297-301. doi: 10.36518/2689-0216.1455. eCollection 2023.
Leukocytoclastic vasculitis is the inflammation of small blood vessels due to leukocyte migration that comprises a wide range of differentials. It can be caused by autoimmune disorders, infections, neoplasms, or certain medications and warrants prompt recognition and therapy for optimal patient outcomes.
Here we present a case of a 37-year-old male who presented with a painful, petechial rash on his torso and extremities. Skin biopsy revealed leukocytoclastic vasculitis, thereby prompting a comprehensive investigation into the underlying etiology leading to the diagnosis of infective endocarditis.
is a rare cause of infective endocarditis with a high mortality and morbidity rate. This case highlights the importance of taking a thorough history and physical along with a complete workup of vasculitis as the underlying cause can be life-threatening.
白细胞破碎性血管炎是由于白细胞迁移导致的小血管炎症,其鉴别诊断范围广泛。它可由自身免疫性疾病、感染、肿瘤或某些药物引起,为实现最佳患者预后,需要及时识别并进行治疗。
我们在此呈现一例37岁男性病例,该患者躯干和四肢出现疼痛性瘀点皮疹。皮肤活检显示白细胞破碎性血管炎,从而促使对潜在病因进行全面调查,最终诊断为感染性心内膜炎。
感染性心内膜炎是白细胞破碎性血管炎的一种罕见病因,死亡率和发病率很高。该病例强调了详细询问病史、进行全面体格检查以及对血管炎进行全面检查的重要性,因为潜在病因可能危及生命。