Vasculitis leucocitoclástica como primera manifestación de pleuritis tuberculosa

In our country tuberculosis is still a very prevalent disease. Tuberculosis can affect any organ, included the skin. This cutaneous disorder can be evidenced by the formation of immunocomplex that are deposited at the skin and manifested as leukocytoclastic vasculitis. We describe the case of a 34 years old patient, with an illness time of four months, whose initial clinical manifestations were palpable purpura on the lower limbs and polyarthralgia, received non-steroidalanti inflammatory drugs for a month, showing slight improvement from such injury; after a subclinical period its symptoms restarts with fever, fatigue and pain chest. There was evidence of left pleural effusion, which resulted in an mononuclear exudate and elevationa of adenosine deaminase. Pleural biopsy showed granulomas and positive BK. Skin biopsy showed leukocytoclastic vasculitis. The patient received first line antituberculosis drugs with favorable clinical outcome after ten days.