{"pk":807,"title":"Low Back Pain and Swelling as an  Atypical Presentation of IgA Vasculitis","subtitle":null,"abstract":"Introduction: Immunoglobulin A vasculitis (IgA vasculitis), formerly Henoch-Schonlein purpura, is the most common vasculitis in children.\nCase Report: A 6-year-old female presented with low back pain and swelling, difficulty ambulating, and rash two weeks after a respiratory infection. She was approached with a broad differential and ultimately diagnosed with IgA vasculitis.\nDiscussion: Cutaneous manifestations, arthralgias, renal and gastrointestinal involvement are the most common presenting signs of IgA vasculitis. Only two cases of IgA vasculitis associated with lumbar pain and swelling were identified in the literature.\nConclusion: While rash and joint pain are common presenting signs of IgA vasculitis, practitioners should be aware it can present atypically.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"IgA vasculitis"},{"word":"Henoch-Schonlein purpura"},{"word":"HSP"},{"word":"lumbar swelling"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5044r0h1","frozenauthors":[{"first_name":"Clay","middle_name":"T.","last_name":"Winkler","name_suffix":"","institution":"Prisma Health - University of South Carolina School of Medicine, Department of Emergency Medicine, Columbia, South Carolina","department":"None"},{"first_name":"Raymond","middle_name":"W.","last_name":"Dobson","name_suffix":"","institution":"West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia","department":"None"},{"first_name":"Michael","middle_name":"J.","last_name":"Tranovich","name_suffix":"","institution":"Ohio Valley Medical Center, Department of Emergency Medicine, Wheeling, West Virginia","department":"None"}],"date_submitted":"2020-04-14T17:51:44-04:00","date_accepted":"2020-04-14T17:51:44-04:00","date_published":"2020-04-14T17:52:57-04:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/807/galley/560/download/"}]}