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Dermatology · Vasculitis
Sample itemA patient has palpable nonblanching purpura concentrated on the lower legs with arthralgia and abdominal pain. What process is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Small-vessel vasculitis
Palpable purpura is a hallmark of cutaneous small-vessel vasculitis caused by inflammation and leakage from small dermal vessels. Systemic symptoms prompt assessment for renal, gastrointestinal, and other organ involvement.
Option by option
A. Vitiligo
Vitiligo causes depigmented macules.
B. Cellulitis
Cellulitis is warm tender diffuse erythema, not palpable purpura.
C. Urticaria
Urticaria blanches and individual wheals resolve within hours.
D. Small-vessel vasculitis (correct)
Correct. Raised nonblanching purpura is typical of small-vessel vasculitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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