A child with immunoglobulin a vasculitis and hemorrhagic shock: An unusual presentation

Immunoglobulin A (IgA) vasculitis, formerly known as Henoch–Schonlein purpura, is the most common vasculitis in children affecting small-sized vessels. Although IgA vasculitis is a self-limiting disease, a small number of patients can present with severe life-threatening complications. Here, we described a pediatric patient with final diagnosis of IgA vasculitis complicated with massive gastrointestinal bleeding and hemorrhagic shock, who recovered with supportive treatment and combined immunosuppressive drugs.