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Q Fever induced Cryoglobunemia Treated with Rituximab

Neha Ohri MD, University of Colorado Hospital, Robert Janson MD, VA Eastern Colorado Health Care SystemFever, Endocarditis, and Palpable Purpura

1Case71M presented with multiple palpable purpura on his LE to his PCP in 1/13. Nonpainful and nonpruriticHad radiated up his legs to his thighsA biopsy showed leukocytoclasic vasculitis (LCV). No IF doneHe was started on prednisone 10mg PO bid by his PCP which resolved the lesions

Labs 13.2 140 103 25 7.6 178 4.8 27 1.4 14.7

UA w/o bld or proteinLDH 286 (


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