{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T19:05:45Z","timestamp":1784142345939,"version":"3.55.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":176,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Immunoglobulin A vasculitis is uncommon in adults and is frequently associated with an identifiable trigger, most often infection. Invasive meningococcal disease is a rare but life-threatening infection caused by Neisseria meningitidis. We report the case of an 18-year-old Indigenous Australian woman who presented with fever, purpuric rash, ankle synovitis, abdominal pain, and systemic inflammation. A skin biopsy demonstrated leukocytoclastic vasculitis with immunoglobulin A deposition on immunohistochemistry, and blood cultures subsequently identified N. meningitidis serogroup B. Cerebrospinal fluid studies were unremarkable. The patient was treated with intravenous ceftriaxone, with complete clinical resolution and no recurrence at a 6-month follow-up. This case highlights a previously unreported association between immunoglobulin A vasculitis and invasive meningococcal disease in an adult patient, and it expands the spectrum of infectious triggers associated with adult-onset immunoglobulin A vasculitis.<\/jats:p>","DOI":"10.1093\/mrcr\/rxag054","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:53:20Z","timestamp":1782302000000},"source":"Crossref","is-referenced-by-count":0,"title":["Immunoglobulin A vasculitis in association with invasive meningococcal disease"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9915-4373","authenticated-orcid":false,"given":"Joseph","family":"Danicic","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Gold Coast Hospital and Health Service , Gold Coast ,","place":["Australia"]},{"name":"School of Medicine and Dentistry, Griffith University ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1362-2434","authenticated-orcid":false,"given":"Burcu","family":"Isler","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry, Griffith University ,","place":["Australia"]},{"name":"Department of Infectious Diseases, Gold Coast Hospital and Health Service , Gold Coast ,","place":["Australia"]},{"name":"Faculty of Health, Medicine and Behavioural Sciences, University of Queensland ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3820-0708","authenticated-orcid":false,"given":"Jennifer","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Gold Coast Hospital and Health Service , Gold Coast ,","place":["Australia"]},{"name":"School of Medicine and Dentistry, Griffith University ,","place":["Australia"]},{"name":"Faculty of Health Science and Medicine, Bond University ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026071514462910200_ref1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s11926-021-01013-x","article-title":"IgA vasculitis in adults: a rare yet challenging disease","volume":"23","author":"Yaseen","year":"2021","journal-title":"Curr Rheumatol Rep"},{"key":"2026071514462910200_ref2","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s11910-015-0524-6","article-title":"Invasive meningococcal disease in the 21st century\u2014an update for the clinician","volume":"15","author":"Dwilow","year":"2015","journal-title":"Curr Neurol Neurosci Rep"},{"key":"2026071514462910200_ref3","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1007\/s10096-004-1203-8","article-title":"Invasive meningococcal disease presenting as Henoch-Sch\u00f6nlein purpura","volume":"23","author":"Tsolia","year":"2004","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"2026071514462910200_ref4","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/j.apjtm.2017.10.004","article-title":"Meningococcal disease, a clinical and epidemiological review","volume":"10","author":"Batista","year":"2017","journal-title":"Asian Pac J Trop Med"},{"key":"2026071514462910200_ref5","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1056\/NEJMoa1900236","article-title":"Meningococcal B vaccine and meningococcal carriage in adolescents in Australia","volume":"382","author":"Marshall","year":"2020","journal-title":"N Engl J Med"},{"key":"2026071514462910200_ref6","doi-asserted-by":"crossref","first-page":"B3","DOI":"10.1016\/j.vaccine.2011.12.062","article-title":"Meningococcal disease: clinical presentation and sequelae","volume":"30","author":"Pace","year":"2012","journal-title":"Vaccine"},{"key":"2026071514462910200_ref7","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1002\/art.1780330809","article-title":"The American College of Rheumatology 1990 criteria for the classification of Henoch-Sch\u00f6nlein purpura","volume":"33","author":"Mills","year":"1990","journal-title":"Arthritis Rheum"},{"key":"2026071514462910200_ref8","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1136\/ard.2009.116657","article-title":"EULAR\/PRINTO\/PRES criteria for Henoch\u2013Sch\u00f6nlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. 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