Atypical Presentation of IgA Vasculitis in an Adult

BACKGROUND: IgA vasculitis (IgAV), known as Henoch-Schönlein purpura, is typically seen in children and is usually self-limited. The most common findings are palpable purpura without thrombocytopenia and coagulopathy, arthritis/arthralgia, abdominal pain, and renal disease.
CASE REPORT: We present the case of an adult male with IgA vasculitis presenting with enteritis as an initial presentation, in who initial traditional management failed to improve symptoms.
CONCLUSIONS: Atypical presentations of IgA vasculitis are important to include in the early differential diagnosis of enteritis because steroids, if begun promptly, can have symptomatic improvement and reduce the duration of illness.

Keywords: Enteritis, Immunoglobulin A, Purpura, Schoenlein-Henoch