{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:14Z","timestamp":1756368614246,"version":"3.44.0"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,10]],"date-time":"2025-08-10T00:00:00Z","timestamp":1754784000000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Henoch\u2010Schonlein Purpura (HSP) is a rare immune vasculitis affecting small blood vessels. Hemorrhagic\u2010bullous conversion of HSP is even rarer, especially in adults, and remains poorly characterized. We present a unique case of a 40\u2010year\u2010old female with hemorrhagic\u2010bullous HSP. The patient presented with maculopapular and vesicular rashes, progressing to bullae predominantly on the bilateral legs. Past history included a similar episode at 17\u2009years old. Laboratory findings showed elevated inflammatory markers, microscopic hematuria, and fecal occult blood. Skin biopsy confirmed leukocytoclastic vasculitis. Immunosuppression with hydrocortisone, colchicine, and azathioprine was initiated. Methylprednisolone pulse therapy was given; transitioning to prednisone. Concurrent urinary tract infection and nephrolithiasis were addressed. Lesions regressed, and the patient was discharged on a tapering prednisone regimen. HSP, particularly the hemorrhagic\u2010bullous variant, is a diagnostic challenge; management remains varied. This case contributes to understanding this rare manifestation and emphasizes the importance of a multidisciplinary approach for optimal patient outcomes.<\/jats:p>","DOI":"10.1111\/1756-185x.70388","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T05:10:33Z","timestamp":1754889033000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bleed and Blister: A Case Report of a 40\u2010Year\u2010Old Woman With Hemorrhagic Bullous Henoch\u2010Schonlein Purpura"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4284-4833","authenticated-orcid":false,"given":"Brylle Domerson","family":"Turalba","sequence":"first","affiliation":[{"name":"Ilocos Training and Regional Medical Center  San Fernando City La Union Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2118-5839","authenticated-orcid":false,"given":"Hannah","family":"Urbanozo\u2010Corpuz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5493-7443","authenticated-orcid":false,"given":"Allan","family":"Corpuz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,10]]},"reference":[{"volume-title":"Henoch Schonlein Purpura (Anaphylactoid Purpura, HSP)","year":"2020","author":"Roache\u2010Robinson P.","key":"e_1_2_1_11_2_1"},{"key":"e_1_2_1_11_3_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2733"},{"issue":"2","key":"e_1_2_1_11_4_1","article-title":"Henoch\u2010Sch\u00f6nlein Purpura in Adults","volume":"63","author":"L\u00f3pez Meiller M. 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