11 results
Henoch Schonlein Leg Rash - Palpable Purpura
Purpura: Low Platelets or Vasculitis?
45 years old, seen in our
Leg Rash - Palpable ... Tip: To differentiate ... later confirmed by skin ... #Rash #clinical ... #photo #dermatology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Joint Pain Rash ... Crohn's disease Palpable ... vasculitis • Henoch Schönlein ... #rashes #differential ... #diagnosis #rheumatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential ... Pinpoint areas (less ... RMSF - Henoch Schonlein ... cryoglobulins • Skin ... #Differential #
Dermatologic Manifestations of Granulomatosis with Polyangiitis (GPA)

Skin involvement in granulomatosis with polyangiitis (GPA) is common and
• Petechiae, Palpable ... Maculopapular rash ... reticularis Differential ... EGPA • Henoch-Schönlein ... #diagnosis #rheumatology
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... trauma leads to skin ... biopsy preferred Differential ... leishmania, Tb, NTM; less ... #clinical #photo
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
inflammation or infection ... RMSF, and Henoch-Schönlein ... petechial or purpuric rash ... far simpler and less ... Purpural #Purpuric #Rash
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
arthralgia, arm/leg ... , mucositis • Rash ... present) Henoch Schonlein ... purpura (lower legs ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
present • Henoch Schonlein ... mucositis - Rash ... to exclude are infections ... -> causing palpable ... #diagnosis #rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
multiforme-like lesions, palpable ... response to local skin ... +/- myocardial infarction ... Behcet disease) Differential ... signs #symptoms #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
3rd Decade Skin ... permanent alopecia Differential ... Non-autoimmune rheumatologic ... fibromyalgia) • Infections ... Seizures • Strokes Skin