Aspirin induced leukocytoclastic vasculitis, lower gastrointestinal hemorrhage and acute renal failure (mimicking systemic vasculitis)

Authors

• Fahdah A. Alokaily, Department of Medicine, Division of Rheumatology, Prince Sultan Military Medical City, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. Tel. +966 (1) 4791000 Ext. 23153. E-mail: alokaily{at}yahoo.com
• Mushabab Alghamdi, Department of Medicine, Division of Rheumatology, Prince Sultan Military Medical City, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. Tel. +966 (1) 4791000 Ext. 23153. E-mail: alokaily{at}yahoo.com
• Ahmad S. Almalki, Department of Medicine, Division of Rheumatology, Prince Sultan Military Medical City, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. Tel. +966 (1) 4791000 Ext. 23153. E-mail: alokaily{at}yahoo.com
• Hussa Alhussaini, Department of Medicine, Division of Rheumatology, Prince Sultan Military Medical City, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. Tel. +966 (1) 4791000 Ext. 23153. E-mail: alokaily{at}yahoo.com

Abstract

This is a case of a 60-year-old gentleman who presented with an extensive cutaneous vasculitic rash (leukocytoclastic) with lower gastrointestinal bleeding following a small dose of aspirin (81 mg). The aspirin was stopped immediately. Three weeks later, he had acute renal failure, which was initially thought to be secondary to systemic vasculitis, but proved to be acute renal tubular necrosis as a delayed reaction to aspirin.

Article Type

Case Report

First Page

420

Last Page

423

Recommended Citation

Alokaily, Fahdah A.; Alghamdi, Mushabab; Almalki, Ahmad S.; and Alhussaini, Hussa (2013) "Aspirin induced leukocytoclastic vasculitis, lower gastrointestinal hemorrhage and acute renal failure (mimicking systemic vasculitis)," Saudi Medical Journal: Vol. 34: Iss. 4, Article 13.
DOI: https://doi.org/10.15537/1658-3175.5745