Atypical propylthiouracil-induced ANCA-positive vasculitis: report of a case with unusual clinical and histopathologic findings
General Material Designation
[Article]
First Statement of Responsibility
Mull, Jamie L; Solus, Jason F; Mutizwa, Misha M; Chiang, Herbert C; Rosman, Ilana S; Musiek, Amy
SUMMARY OR ABSTRACT
Text of Note
The side effects of propylthiouracil, including cytopenia and vasculitis, are well established. We present an interesting case in which cytopenia and cutaneous vasculopathy occurred concomitantly in a critically ill patient. The patient was initially treated for suspected infection until dermatologic and rheumatologic workup revealed ANCA-positivity and vasculopathy on histopathology, most consistent with an atypical presentation of ANCA-positive vasculitis. Upon initiation of immunosuppressive therapy, the patient's condition rapidly improved emphasizing the importance of early recognition of this condition.
SET
Date of Publication
2015
Title
Dermatology Online Journal
Volume Number
21/8
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Mull, Jamie L; Solus, Jason F; Mutizwa, Misha M; Chiang, Herbert C; Rosman, Ilana S; Musiek, Amy