Henoch–Schönlein purpura nephritis and colitis in an adult patient with alcoholic liver cirrhosis

Images in PracticeHenocheSch € onlein purpura nephritis and colitis in an adult patient with alcoholic liver cirrhosis A 54-year-old man visited our hospital with symptoms of abdominal pain and generalized skin rash that had developed over several weeks.He had no history of diabetes mellitus, except alcoholic liver cirrhosis (LC).Laboratory investigations revealed that the serum creatinine, albumin, hemoglobin, and platelet levels were 0.95 mg/dL, 2.3 g/dL, 10.0 g/dL, and 49,000/mL, respectively.Urinalysis showed severe proteinuria.Antineutrophil cytoplasmic antibody was not detectable.Serum C3 was decreased.Colonoscopy revealed ulcerative lesions along the transverse colon, and abdominal computed tomography revealed

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