IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-2-24032 Original Research Paper HENOCH–SCHONLEIN PURPURA IN A CASE OF DISSEMINATED TUBERCULOSIS – A RARE PRESENTATION John Muchahary Dr. DR Chetan Kerkar Dr. February 2020 9 2 01 02 ABSTRACT

Henoch–schonlein purpura (HSP) is an acute, systemic, immune complex mediated, leukocytoclastic vasculitis seen more commonly in children. It presents with the clinical triad of non–thrombocytopenic palpable purpura, arthritis and abdominal pain. We present a case of disseminated tuberculosis associated with HSP in a 57 year old male patient, who developed non–pruritic, painless purpura after six days of anti–tuberculosis treatment. The skin biopsy revealed granular blood vessel wall staining with IgA, C3 and fibrinogen suggestive of HSP. The cutaneous vasculitis in this disappeared with the continuation of anti–tubercular drugs. The association of tuberculosis and HSP is very rare.