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Immune complex-mediated leukocytoclastic vasculitis, 7-10 days after medications, palpable purpura. Dx?

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Final answer:

The diagnosis of immune complex-mediated leukocytoclastic vasculitis involves a Type III hypersensitivity reaction with palpable purpura, commonly associated with certain medications and conditions like systemic lupus erythematosus.

Step-by-step explanation:

The clinical picture described: immune complex-mediated leukocytoclastic vasculitis occurring 7-10 days after medication administration resulting in palpable purpura infers a diagnosis of a Type III hypersensitivity reaction. This type of reaction involves the formation and deposition of antigen-antibody complexes (immune complexes) within tissues, particularly the blood vessels, leading to an inflammatory response.

Vasculitis can cause blood to leak from damaged vessels, which manifests as purplish spots known as palpable purpura. This immune response is typically characterized by the activation of the complement system, which in turn, recruits neutrophils to the site causing further inflammation and tissue damage.

Conditions commonly associated with immune complex disease include glomerulonephritis, rheumatoid arthritis, and systemic lupus erythematosus (SLE), among others. Thus, a careful assessment including patient history, medication intake, and other relevant tests are necessary for accurate diagnosis and management.

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