Abstract

VANEGAS-DUARTE, Esteban. Cytomegalovirus infection and Henoch-Schönlein purpura in the elderly as a complication and factor that perpetuates the disease. Case report. Rev.Colomb.Reumatol. [online]. 2021, vol.28, n.1, pp.57-63.  Epub Sep 23, 2021. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2019.09.003.

Henoch-Schönlein purpura in the adult is a diagnostic challenge. Its low incidence and its unspecific symptomatology in this age group, establish a clinical chart that can be ignored on several occasions. Henoch-Schönlein purpura is considered a group of diseases of heterogeneous manifestation with a common pathogenic axis: the finding of inflammation of the wall of the small calibre vessels, mediated by immune complexes. The case is presented of a 70-year-old patient with a difficult to treat Henoch-Schönlein purpura, with constant relapses despite the use of the therapeutic guidelines established in the current guidelines. In this patient, a concomitant cytomegalovirus infection was documented that, after receiving treatment, allowed adequate control of symptoms. Additionally, this patient also had a lymphocytopenia that was secondary to cytomegalovirus.

Keywords : Schönlein-Henoch purpura; Cytomegalovirus infections; Inflammatory bowel disease; Cutaneous leukocytoclastic vasculitis; Idiopathic T-lymphocytopenia; CD4-positive.

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