Leukocytoclastic vasculitis and necrobiotic pulmonary nodules in endoscopic remission of ulcerative colitis

Skin and lung findings, including the rare findings of leukocytoclastic vasculitis (LCV) and necrobiotic pulmonary nodules, are known extraintestinal manifestations (EIMs) of inflammatory bowel disease. However, these rare EIMs have typically been reported as being a sign of active intestinal disease. We report an ulcerative colitis patient with multiple skin and pulmonary findings while in endoscopic remission. Clinicians should remain alert to the possibility of EIMs, even in the absence of intestinal symptoms.