Male patient H.T (born in 1975) came for examination at the Department of Dermatology - Allergy Immunology, Thong Nhat Hospital in a condition of appearing red rashes, small bleeding in both feet, accompanied by mild pain when walking. Doctors prescribed skin biopsy, performed anatomy tests to determine diagnosis and advise on hospitalization for treatment. However, the patient requested postponement to arrange work.
According to BSNT. CK1 Chau Quoc Khanh, this is an early manifestation of vascular inflammation syndrome - a condition of inflammation and damage to blood vessel walls due to immune disorders, easily confused with common skin diseases in the early stages.
Two days later, the disease progressed rapidly, widespread skin damage, accompanied by abdominal pain and black stools, the patient was taken to the emergency room at the Department of Gastrointestinal Surgery. Here, doctors determined that there was gastrointestinal bleeding and proceeded to treat it, and at the same time consulted with the Department of Dermatology - Allergy Immunology.
Based on clinical developments, specialists unified the diagnosis of gastrointestinal bleeding within the clinical picture of systemic vascular syndrome, thereby developing a combined treatment regimen.
After treating the cause correctly, the gastrointestinal bleeding condition improved quickly after only one day. After 5 days, skin lesions decreased significantly, pain symptoms subsided, and the patient's health recovered well.
Doctors say that chronic inflammatory skin disease not only affects the skin but can also affect many organs. Therefore, people should not be subjective with signs such as hemorrhagic rash that does not disappear when pressed, especially when accompanied by abdominal pain, black stools or fatigue. Early examination helps detect and treat promptly, avoiding dangerous complications.
