Challenger Medical Education Blog

A 46-year-old man taking hydrochlorothiazide presents with a rash

Written by Med-Challenger | Jan 23, 2025 2:00:00 PM

A 46-year-old man taking no previous medication is started on hydrochlorothiazide 25 mg for essential hypertension. Several days later he presents with a rash (see image).

         

Image.

He complains of malaise, myalgia, and joint discomfort. This presentation is most consistent with which of the following?

  • Henoch-Schönlein purpura
  • microscopic polyangiitis
  • Takayasu arteritis
  • hypersensitivity vasculitis (leukocytoplastic vasculitis)
  • Churg-Strauss syndrome

 

This question appears in Med-Challenger Emergency Medicine Review with CME

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