Medical education
Snapshot
Volume 206 - Issue 4
Henoch–Schönlein purpura following Yersinia enterocolitica infection
Authors: Kylie Ngu, Kate J Robson and David J Goodman
Med J Aust 2017; 206 (4): 160. || doi: 10.5694/mja16.00222
Published online: 6 March 2017
Published online: 6 March 2017
We describe a case of Henoch–Schönlein purpura (HSP) in a 19-year-old woman triggered by a diarrhoeal illness from Yersinia enterocolitica. The patient subsequently developed a widespread purpuric rash on the upper and lower limbs (Box), spasmodic abdominal pain, polyarthralgia and macroscopic haematuria. A skin biopsy confirmed leukocytoclastic vasculitis. Immunofluorescence testing on a percutaneous renal biopsy revealed strong mesangial staining for IgA. While post-infectious proliferative glomerulonephritis with Y. enterocolitica is described in several case series, the syndrome of HSP after this infection has rarely been reported.1,2 This case reinforces that any immune stimulus in IgA-producing tissue, including gastrointestinal infection, can trigger HSP.
References
- Friedberg M, Denneberg T, Brun C. Glomerulonephritis in infections with Yersinia enterocolitica O-serotype 3. Acta Med Scand 1981; 209: 103-110.
- Rasmussen NH. Henoch-Schönlein purpura after yersiniosis. Arch Dis Child 1982; 57: 322.
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