Cutaneous leukocytoclastic vasculitis with concurrent colitis of uncertain aetiology.
Vanessa Pei Xian Yaw, Mohamed Korani, Rakibul Anowar et al.
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Case in brief
A female in her 20s presented with biopsy-confirmed cutaneous leukocytoclastic vasculitis and significant gastrointestinal symptoms, including recurrent rectal bleeding and abdominal pain. Investigations revealed left-sided colitis with non-specific inflammation on colonic biopsies. Despite treatment with prednisolone and mesalazine leading to symptom resolution, the relationship between the cutaneous and gastrointestinal findings remains associative, highlighting the need for diagnostic caution.
Diagnostic / clinical pearl
Clinicians should exercise caution in interpreting extracutaneous manifestations in cases of leukocytoclastic vasculitis, as associations may not indicate a direct causative relationship.