Atypical presentation of immunoglobulin A vasculitis mimicking acute appendicitis in a pediatric patient: a case report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F25%3A00143749" target="_blank" >RIV/00216224:14110/25:00143749 - isvavai.cz</a>

Result on the web

<a href="https://www.tandfonline.com/doi/full/10.1080/20565623.2025.2558311" target="_blank" >https://www.tandfonline.com/doi/full/10.1080/20565623.2025.2558311</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/20565623.2025.2558311" target="_blank" >10.1080/20565623.2025.2558311</a>

Result language

angličtina

Original language name

Atypical presentation of immunoglobulin A vasculitis mimicking acute appendicitis in a pediatric patient: a case report

Original language description

Acute appendicitis is a common pediatric surgical emergency, but its clinical presentation can overlap with other conditions, complicating diagnosis. We present a case of a 4-year-old female who initially presented with symptoms suggestive of appendicitis, including right iliac fossa pain, vomiting, and fever. Imaging studies were inconclusive, and a laparoscopic appendectomy was performed. No signs of appendicitis were found, but vasculitic changes were noted in a segment of the ileum. Postoperatively, the patient developed a mild purpuric rash, and elevated C-reactive protein (CRP) levels prompted further investigation. Subsequent laboratory tests and clinical findings led to a diagnosis of Immunoglobulin A (IgA) vasculitis, characterized by a small-vessel vasculitis affecting the gastrointestinal tract. This case highlights the diagnostic challenges when presenting symptoms mimic appendicitis but are ultimately attributed to an atypical presentation of IgA vasculitis. The importance of considering systemic inflammatory conditions like IgA vasculitis in pediatric abdominal pain is emphasized, especially when initial diagnoses do not align with imaging or surgical findings. A multidisciplinary approach, including rheumatological evaluation, was crucial in securing the correct diagnosis and managing the patient's care.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30209 - Paediatrics

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

FUTURE SCIENCE OA

ISSN

2056-5623

e-ISSN

2056-5623

Volume of the periodical

11

Issue of the periodical within the volume

1

Country of publishing house

GB - UNITED KINGDOM

Number of pages

9

Pages from-to

1-9

UT code for WoS article

001573420300001

EID of the result in the Scopus database

2-s2.0-105016537044