Acute hemorrhagic edema in an infant mimicking Henoch-Schonlein purpura: a case study.
10.3345/kjp.2006.49.12.1354
- Author:
Hyang Mo LEE
1
;
Eun Young KANG
;
Han Uk KIM
;
Pyoung Han HWANG
Author Information
1. Department of Pediatrics, the Research Institute of Clinical Medicine, School of Medicine Chonbuk National University, Jeonju, Korea. hwaph@chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Acute hemorrhagic edema of infancy (AHEI);
Leukocytoclastic vasculitis;
Purpura
- MeSH:
Child;
Ear;
Edema*;
Extremities;
Fever;
Humans;
Infant*;
Male;
Purpura;
Purpura, Schoenlein-Henoch*;
Skin;
Vasculitis, Leukocytoclastic, Cutaneous
- From:Korean Journal of Pediatrics
2006;49(12):1354-1357
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute hemorrhagic edema of infancy (AHEI) is an uncommon form of cutaneous leukocytoclastic vasculitis that occurs in infants and children younger than 2 years. AHEI is characterized clinically by marked peripheral edema and fever as well as large palpable purpuric and ecchymotic skin lesions in a target-like pattern, mainly on the face, ears and extremities, similar to the skin findings of Henoch-Schonlein purpura (HSP). The skin lesions heal spontaneously within one to three weeks and internal organs are rarely affected. We report a case of AHEI occurring in a 23-month-old boy who was initially misdiagnosed as HSP, and was later diagnosed according to his clinical symptoms and histochemical characteristics.
