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Churg-Strauss Syndrome, Granulomatosis With Polyangiitis, Henoch-Schonlein Purpura, Leukocytoclastic Vasculitis, Systemic Candidiasis With Vasculitis, Acute Progressive Disseminated Histoplasmosis With Vasculitis



  1. Carr, Kristin A.
  2. Zumwalt, Michael
  3. Jacob, Sharon E.


ABSTRACT: An 81-year-old outdoorsman from northern New York with a history Henoch-Schonlein purpura presented with 2 weeks of worsening shortness of breath, oliguria, and a bilateral lower-extremity purpuric and petechial rash with circinate lesions on his left dorsal foot. The symptoms and rash did not improve after broad-spectrum antibiotics for presumed pneumonia and systemic corticosteroid administration for a presumed vasculitis flare. A skin biopsy showed a leukocytoclastic vasculitis with negative IgA immunofluorescence. A chest computed tomography showed bilateral cavitary lung nodules. Further blood testing was performed to confirm the diagnosis.