๐บ A 61-year-old man presented to dermatology clinic with a 15-year history of painful skin lesions on the face, back, hands, elbows, buttocks and knees .๐๐
๐บ Lesions became exacerbated in #cold weather. Several lesions had resolved spontaneously with subsequent intermittent recurrence at the same sites.
๐บ He complained of recurrent ocular hyperemia and progressively blurred vision.
๐บ Dermatologic examination showed purple-red, firm papules and plaques on the palms and dorsal aspects of hands, elbows, buttocks, knees and feet.
๐บ Laboratory findings showed an elevated serum #IgA level (monoclonal IgA ฮป-type).
๐บThe histopathology of the lesions on the thigh revealed diffuse neutrophils, nuclear dust, leukocytoclastic vasculitis of the superficial and mid-dermal vessels.
๐จ๐จWhat is the right diagnosis and treatment ?
#case_diagnosis
๐บ Lesions became exacerbated in #cold weather. Several lesions had resolved spontaneously with subsequent intermittent recurrence at the same sites.
๐บ He complained of recurrent ocular hyperemia and progressively blurred vision.
๐บ Dermatologic examination showed purple-red, firm papules and plaques on the palms and dorsal aspects of hands, elbows, buttocks, knees and feet.
๐บ Laboratory findings showed an elevated serum #IgA level (monoclonal IgA ฮป-type).
๐บThe histopathology of the lesions on the thigh revealed diffuse neutrophils, nuclear dust, leukocytoclastic vasculitis of the superficial and mid-dermal vessels.
๐จ๐จWhat is the right diagnosis and treatment ?
#case_diagnosis