key: cord-0964543-0krvsryi
authors: Sandhu, Sunmeet; Chand, Satish; Bhatnagar, Anuj; Dabas, Rajeshwari; Bhat, Showkat; Kumar, Harish; Dixit, Prashant Kumar
title: Possible association between IgA vasculitis and COVID‐19
date: 2020-11-25
journal: Dermatol Ther
DOI: 10.1111/dth.14551
sha: 9789e1b004c821ba6f7e6c81ec007e682f10f583
doc_id: 964543
cord_uid: 0krvsryi

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ney biopsy was done which showed features of focal necrotizing, mesangial, and focal endocapillary proliferative IgA nephropathy with mesangial granular deposits of IgA ( Figure 3 ). Patient was promptly started on injection dexamethasone equivalent to 1 mg/kg of prednisolone for 10 days and shifted to oral prednisolone subsequently. Presence of poor prognostic findings on kidney biopsy with glomerular segmental tuft necrosis and cellular crescent formation prompted us to plan long-term immunosuppressants for at least three months duration. Hence, mycophenolate mofetil as steroid sparing agent was added to be continued for three months and oral prednisolone tapered off in one month. His cutaneous lesions, joint involvement and abdominal symptoms resolved, liver function tests, and urinalysis normalized over 2 weeks. The patient is under follow-up to look for long-term renal complications. 

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