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Case report
Pulmonary embolism as the primary presentation of IgA vasculitis
  1. Osama Mosalem1,2,
  2. Nora Hernandez Garcilazo1,2,
  3. Yehia Saleh1,3 and
  4. Fawzi Abu Rous1,4
  1. 1Department of Medicine, Michigan State University, East Lansing, Michigan, USA
  2. 2Department of Medicine, Sparrow Health System, Lansing, Michigan, USA
  3. 3Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas, USA
  4. 4Department of Hematology and Oncology, Henry Ford Health System, Detroit, Michigan, USA
  1. Correspondence to Dr Osama Mosalem; Mosalemo{at}


A 47-year-old man presented to the emergency department with acute onset of dyspnoea and a week history of painful erythematous rash on both of his legs. CT angiogram of the chest showed saddle pulmonary embolism resulting in right ventricular strain and obstructive shock. Due to the atypical nature of his skin rash, a skin biopsy from one of these lesions was done and came consistent with the diagnosis of IgA vasculitis.

  • venous thromboembolism
  • haematology (drugs and medicines)
  • vasculitis
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  • Contributors OM and NHG created the manuscript. YS and FAR reviewed and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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