PMC10125763_01
Palpable purpuric lesions on first admission.
CRIPE2023-9950855.001.jpg
PMC10125763_01_CRIPE2023-9950855.001.jpg
fig1
The patient was a 10-year-old boy who was admitted to the rheumatology department of Imam Hussein Children's Hospital, Isfahan University of Medical Sciences, Iran, due to abdominal pain and purpuric lesions in the buttocks and legs, swelling and pain in the knees, and abdominal pain in the preceding two days (Figure 1).
Three weeks later:orchitis and ulcerative lesions in the buttocks.
CRIPE2023-9950855.002.jpg
PMC10125763_01_CRIPE2023-9950855.002.jpg
fig2
However, the patient returned to the hospital due to ulcerative lesions in the buttocks and orchitis (Figure 2).
Multiple pulmonary nodules in both lungs on CT.
CRIPE2023-9950855.003.jpg
PMC10125763_01_CRIPE2023-9950855.003.jpg
fig3
As the history of frequent epistaxis and c-ANCA positivity was suggestive of GPA, chest computerized tomography scan was performed and showed multiple pulmonary nodules (Figure 3).