Infantile Acute Hemorrhagic Edema.
10.5021/ad.1995.7.1.82
- Author:
Joon Hyeok YOON
;
Jong Hee NA
;
Do Won KIM
;
Sang Lip CHUNG
;
Jae Bok JUN
- Publication Type:Case Report
- Keywords:
Acute leukocytoclastic vasculitis;
Indurated purpura with cockade pattern;
Infantile acute hemorrhagic edema
- MeSH:
Biopsy;
Dehydration;
Edema*;
Extremities;
Fluid Therapy;
Fluorescent Antibody Technique, Direct;
Foot;
Hand;
Humans;
Immunoglobulin M;
Infant;
Leg;
Male;
Purpura;
Recurrence;
Skin;
Thrombocytosis;
Vasculitis
- From:Annals of Dermatology
1995;7(1):82-85
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of infantile acute hemorrhagic edema in a 15-month-old boy. The patient showed multiple, bean to walnut-sized, red to purple-colored, indurated purpura with a cockade pattern on the face, earlobes, and extremities. Edema of the hands, feet, and earlobes was also observed. Laboratory examinations showed thrombocytosis, decreased serum CH50, and ketone in the urine. A skin biopsy taken from indurated purpura on the lower leg exhibited findings of acute leukocytoclastic vasculitis. Direct immunofluorescence examination showed deposition of IgM along the dermo-epidermal junction and C3 in the dermal vessel walls. With-out specific management except for fluid therapy to correct dehydration, the skin lesions cleared completely in 2 weeks, and recurrence has not observed.
