Abstract
A 39-yr-old white male with a prolonged history of Crohn's disease presented with worsening diarrhea associated with an increasingly painful rash of both lower extremities as well as left ankle swelling. A skin biopsy revealed an acute leukocytoclastic vasculitis. Intravenous hydrocortisone followed by oral prednisone achieved a rapid remission of the both cutaneous and gastrointestinal manifestations. Long-term remission has been maintained with 6-mercaptopurine and mesalamine. The rare association between cutaneous vasculitis and Crohn's disease is discussed and earlier reported cases reviewed.
MeSH terms
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Adult
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Aminosalicylic Acids / therapeutic use
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Anti-Inflammatory Agents / therapeutic use
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Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
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Blood Vessels / pathology
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Crohn Disease / complications*
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Crohn Disease / drug therapy
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Crohn Disease / pathology
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Humans
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Hydrocortisone / therapeutic use
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Male
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Mercaptopurine / therapeutic use
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Mesalamine
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Prednisone / therapeutic use
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Vasculitis, Leukocytoclastic, Cutaneous / diagnosis
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Vasculitis, Leukocytoclastic, Cutaneous / drug therapy
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Vasculitis, Leukocytoclastic, Cutaneous / etiology*
Substances
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Aminosalicylic Acids
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Anti-Inflammatory Agents
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Anti-Inflammatory Agents, Non-Steroidal
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Mesalamine
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Mercaptopurine
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Prednisone
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Hydrocortisone