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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2025; 13(35): 115280
Published online Dec 16, 2025. doi: 10.12998/wjcc.v13.i35.115280
Published online Dec 16, 2025. doi: 10.12998/wjcc.v13.i35.115280
Systemic and dermatological findings of immunoglobulin A vasculitis in a black child: A case report
Khulud Mahmood Nurani, Gloria Natalia, Najib Kadernani, School of Medicine, University of Nairobi, Nairobi 30197-00100, Nairobi City, Kenya
Khalid Kadernani, Department of Medicine, Nairobi West Hospital, Nairobi 19676 - 00100, Nairobi City, Kenya
Author contributions: Nurani K and Kadernani N took patient history; Nurani K, Kadernani K, and Natalia G drafted the case report.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Najib Kadernani, MD, School of Medicine, University of Nairobi, Hospital Road, Upper Hill, Nairobi, Kenya, Nairobi 30197-00100, Nairobi City, Kenya.
Received: October 15, 2025
Revised: November 5, 2025
Accepted: December 8, 2025
Published online: December 16, 2025
Processing time: 64 Days and 14.2 Hours
Revised: November 5, 2025
Accepted: December 8, 2025
Published online: December 16, 2025
Processing time: 64 Days and 14.2 Hours
Core Tip
Core Tip: Immunoglobulin A (IgA) vasculitis, rare in black children, can be missed when classic purpura is subtle on dark skin. Early triad recognition—palpable rash, arthralgia, abdominal pain—and prompt supportive care secure rapid recovery. This case describes an 11-year-old Black girl with classic systemic features—palpable purpura, abdominal pain, and arthritis—but with atypical dermatologic presentation due to skin pigmentation. The report underscores the diagnostic challenges of identifying vasculitic rashes in darker skin and highlights the need for inclusive dermatologic education and region-specific research on IgA vasculitis presentation and outcomes in African children.