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Korean J Asthma Allergy Clin Immunol. 2007 Sep;27(3):186-189. Korean. Case Report.
Kwon JW , Kim MH , Park HG , Lim KH , Kim TW , Yang MS , Lee SH , Kwon HS , Kim DI , Park CH , Son SW , Park HW , Chang YS , Kim SS , Cho SH , Min KU , Kim YY .
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. addchang@snu.ac.kr
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Korea.
Abstract

We report a case of elderly patient with IgA-associated leukocytoclastic vasculitis who was successfully treated with dapsone. A 75-year-old Korean female patient who had suffered from asthma visited because of multiple purpura, vesicle, and bullae on her extremities. She also complained of pitting edema, especially on the lower extremities. She was diagnosed as IgA-associated leukocytoclastic vasculitis by skin biopsy and treated successfully with steroid. How- ever, skin lesions recurred after tapering steroid. We restarted high-dose steroid and the lesions showed improvement. However, skin lesions were refractory to lower-dose steroids, and also refractory to colchicine treatment. Dapsone (50 mg daily) induced dramatic improvement of her cutaneous vasculitis, proteinuria and edema.

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