Cutaneous Small Vessel Vasculitis: A Rare Manifestation of Protein Supplement Nutritional Powder

Madeeha Nazar; Abdullah Khalid

doi:10.70302/jpsim.v5i1.2417

Case Report

Cutaneous Small Vessel Vasculitis: A Rare Manifestation of Protein Supplement Nutritional Powder

Madeeha Nazar

Holy Family Hospital, Rawalpindi

Abdullah Khalid

Holy Family Hospital, Rawalpindi

✉ Correspondence: Madeeha Nazar Email: madeehanazar@gmail.com

DOI https://doi.org/10.70302/jpsim.v5i1.2417

Volume: 5, Issue 1 (Women Issue) Pages: 436–437 Published: 28 Feb 2024

Received: 02 Oct 2023 Accepted: 09 Dec 2023 Published Online: 28 Feb 2024

Abstract

I am Describing a rare case of purpuric rash that developed in a Diabetic patient who was advised NutritionalProtein powder for her hypoalbuminemia.There was no history of any new drug intake,joint pains, nasal ulcers or hematuria. Histopathology revealed the diagnosis cutaneous small vessel vasculitis. The protein powder was stopped and as the lesions did not regress significantly patient was started steroids with complete resolution of lesions in 4 weeks.

Keywords

: Leukocytoclastic Vasculitis Purpuric rash fibrinoid necrosis

How to Cite This Article

Nazar M, Khalid A. Cutaneous Small Vessel Vasculitis: A Rare Manifestation of Protein Supplement Nutritional Powder. J Pak Soc Intern Med. 2024;5(1):436–437. doi:10.70302/jpsim.v5i1.2417

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

Fraticelli P, Benfaremo D, Gabrielli A. Diagnosis and management of leukocytoclastic vasculitis. Intern Emerg Med. 2021;16(6):831-41.
Jennette JC, Falk RJ, Alba MA. Nomenclature of Vasculitides: 2012 Revised International Chapel Hill Consensus Conference: Nomenclature of Vasculitides and Beyond. Systemic Vasculitides: Cur Status Perspect. 2016:15-28.
Bouiller K, Audia S, Devilliers H, Collet E, Aubriot MH, Leguy-Seguin V et al. Etiologies and prognostic factors of leukocytoclastic vasculitis with skin involvement: a retrospective study in 112 patients. Medicine. 2016;95(28):e4238.
Ortiz-Sanjuán F, Blanco R, Hernández JL, Pina T, González-Vela MC, Fernández-Llaca H et al. Drug-associated cutaneous vasculitis: study of 239 patients from a single referral center. J Rheumatol. 2014;41(11):2201-7.
Blanco R, Martínez-Taboada VM, Rodríguez-Valverde V, García-Fuentes M. Cutaneous vasculitis in children and adults: associated diseases and etiologic factors in 303 patients. Medicine. 1998;77(6):403-18.

Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2024 Journal of Pakistan Society of Internal Medicine.

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[1] Fraticelli P, Benfaremo D, Gabrielli A. Diagnosis and management of leukocytoclastic vasculitis. Intern Emerg Med. 2021;16(6):831-41.

[2] Jennette JC, Falk RJ, Alba MA. Nomenclature of Vasculitides: 2012 Revised International Chapel Hill Consensus Conference: Nomenclature of Vasculitides and Beyond. Systemic Vasculitides: Cur Status Perspect. 2016:15-28.

[3] Bouiller K, Audia S, Devilliers H, Collet E, Aubriot MH, Leguy-Seguin V et al. Etiologies and prognostic factors of leukocytoclastic vasculitis with skin involvement: a retrospective study in 112 patients. Medicine. 2016;95(28):e4238.

[4] Ortiz-Sanjuán F, Blanco R, Hernández JL, Pina T, González-Vela MC, Fernández-Llaca H et al. Drug-associated cutaneous vasculitis: study of 239 patients from a single referral center. J Rheumatol. 2014;41(11):2201-7.

[5] Blanco R, Martínez-Taboada VM, Rodríguez-Valverde V, García-Fuentes M. Cutaneous vasculitis in children and adults: associated diseases and etiologic factors in 303 patients. Medicine. 1998;77(6):403-18.