You are here

Article Text

Article menu
Download PDFPDF
Letter to the editor
Extrahepatic manifestations of hepatitis C
  1. Sanjay Gupta1,
  2. Nadeem Tehami1,
  3. Anne Tarn2
  1. 1Department of Gastroenterology, Croydon University Hospital, Croydon, UK
  2. 2Department of Clinical Pathology, Croydon University Hospital, Croydon, UK
  1. Correspondence to Dr Sanjay Gupta, Department of Gastroenterology, Croydon University Hospital, 530 London Road Croydon Surrey, Croydon, Surrey CR7 7YE, UK; san1gupta{at}hotmail.com

https://doi.org/10.1136/flgastro-2013-100402

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    We read with interest the article on extrahepatic manifestations of hepatitis C virus by Samuel and Rees.1 We report a dermatological manifestation of hepatitis C, which the authors have not mentioned.

    A 38-year-old man with hepatitis C was admitted with upper gastrointestinal bleed. He was found to have oesophageal varices that were banded. He developed a tender purpuric rash with ulceration on his lower limbs. There were no other associated symptoms. A clinical diagnosis of cryoglobulinaemia was considered. Vasculitic screen was negative.

    Samples were tested for the presence of cryoglobulins using standard laboratory procedures comparing plasma and serum samples kept at 37°C, with those then cooled and incubated at 4°C to demonstrate cryoprecipitation. Initial examination showed no visible …

    View Full Text

    Footnotes

    • Contributors All authors have contributed to the management of this patient and in writing the manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.