Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand 70 M vertebral osteomyelitis on vancomycin and cefepime for around 4 weeks. Presents with diffuse palpable rash. Diagnosis? Differential for LCV includes drug reaction with eosinophilia and systemic symptoms (DRESS), amyloidosis, antiphospholipid syndrome, atrial myxoma, Behcet disease, Churg-Strauss syndrome, granulomatosis with polyangiitis, HSP, urticarial vasculitis, ITP, meningococcemia. Multiple etiologic factors including drugs, infections, foods, autoimmune diseases, collagen vascular diseases, and malignancies have been associated with LCV - Indiana University Infectious Diseases Fellowship @IUIDfellowship #Vancomycin #Leukocytoclastic #Vasculitis #LCV #Hand #skinrash #dermatology #clinical #photo
