Adult outset of IgA vasculitis with pulmonary and renal involvement

IgA vasculitis is commonly presenting as small vessel vasculitis in pediatric age group, while the occurrence in adults has been rarely reported. The diagnosis can be easily missed in adult patients. A high degree of suspicion and performing a biopsy of involved tissue along with immuno-fluorescence studies in suspected cases are mandatory to establish the diagnosis. Presence of Leukocytoclastic vasculitis with IgA deposition in biopsied tissue is pathognomonic finding for IgA vasculitis. Clinical manifestations can be seen in the skin, joints, gastrointestinal tract, and kidneys. Very unusual presentations it may involve pulmonary system [3].