Case 13-2026: A 76-Year-Old Woman with Fatigue, Rash, and Kidney Failure

Por: Cortazar, Frank B [Autor]Colaborador(es): Sise, Meghan E | Rapalino, Otto | Branagan, Andrew R | Trivin-Avillach, ClaireTipo de material: TextoTextoIdioma: Inglés Descripción: páginas: 1737-1748Tema(s): LESIÓN RENAL AGUDA | MEDICINA CLÍNICA GENERAL | DERMATOLOGÍA GENERAL | ENFERMEDADES INFECCIOSAS GENERALES | REUMATOLOGÍA GENERAL En: The New England Journal of MedicineResumen: A 76-year-old woman was transferred to the medical service of this hospital because of rapidly progressive kidney failure. The patient had been in her usual state of health until 1 year before the current presentation, when a painless purpuric rash on the lower legs developed. The rash waxed and waned. There was no joint pain, edema, weakness, or weight loss. The patient was seen by a dermatologist at another hospital, and the results of a skin biopsy were reportedly consistent with leukocytoclastic vasculitis. The results of urinalysis and kidney-function tests were normal. Her symptoms were attributed to a history of hepatitis C virus (HCV) infection; topical glucocorticoid treatment was initiated, and the rash resolved.
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Colección General NEJM (Navegar estantería) Vol.394, No.17 (2026) Disponible NEJM016

A 76-year-old woman was transferred to the medical service of this hospital because of rapidly progressive kidney failure.
The patient had been in her usual state of health until 1 year before the current presentation, when a painless purpuric rash on the lower legs developed. The rash waxed and waned. There was no joint pain, edema, weakness, or weight loss. The patient was seen by a dermatologist at another hospital, and the results of a skin biopsy were reportedly consistent with leukocytoclastic vasculitis. The results of urinalysis and kidney-function tests were normal. Her symptoms were attributed to a history of hepatitis C virus (HCV) infection; topical glucocorticoid treatment was initiated, and the rash resolved.