Dermatology case

Authors

  • Mariana Adrião Department of Pediatrics, Centro Hospitalar de São João
  • João Sarmento Department of Pediatric Cardiology, Centro Hospitalar de São João
  • João Barreira Department of Pediatrics, Centro Hospitalar de São João

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v27.i3.10199

Keywords:

Acute, hemorrhagic, infancy, leukocytoclastic vasculitis, purpura, self-limited

Abstract

Acute hemorrhagic edema of infancy (AHEI) is a small vessels leukocytoclastic vasculitis which typically occurs between 4 and 24 months. It manifests with  palpable purpuric skin lesions and extremities’ edema.
We describe the clinical case of an 18 month-old child brought to the Emergency Room due to purpuric skin lesions distributed throughout his limbs and face with about 12 hours of evolution. Due to the well-being and the normal analytic study, the diagnosis of AHEI was presumed. The progress of the skin lesions was evaluated, with follow-up at 48 hours and seven days after the beginning of the lesions. It was possible to note their evolution and disappearing after three weeks.
AHEI is a self-limited disease, with a benign course, which contrasts with its exuberant purpuric skin lesions. Among its principals differential diagnosis is Henoch-Schonlein Purpura. It is important to recognize this disease, avoiding unnecessary treatments and concerns.

Downloads

Download data is not yet available.

References

Dutta A, Ghosh SK. Acute hemorrhagic edema of infancy. Indian Pediatr. 2014 Aug;51(8):677-8.

Hayrullah A. Acute Hemorrhagic Edema of Infancy, Advances in the Etiology, Pathogenesis and Pathology of Vasculitis, 2011, Dr. Luis M Amezcua-Guerra (Ed.), ISBN: 978-953-307-651-5, InTech, DOI: 10.5772/19842.

Dedeoglu F, Kim S. Henoch-Schonlein purpura (immunoglobulin A vasculitis): clinical manifestations and diagnosis. UpToDate 2015

Downloads

Published

2018-10-17

How to Cite

1.
Adrião M, Sarmento J, Barreira J. Dermatology case. REVNEC [Internet]. 2018Oct.17 [cited 2025Jan.21];27(3):203-5. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/10199

Issue

Vol. 27 No. 3 (2018)

Section

Imaging Cases

License

Copyright and Authors' Rights

All articles published in Nascer e Crescer - Birth and Growth Medical Journal are Open Access and comply with the requirements of funding agencies or academic institutions. For use by third parties, Nascer e Crescer - Birth and Growth Medical Journal adheres to the terms of the Creative Commons License "Attribution - Non-Commercial Use (CC-BY-NC)".

It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.

Authors must submit a Conflict of Interest statement and an Authorship Form with the submission of the article. An e-mail will be sent to the corresponding author confirming receipt of the manuscript.

Authors are permitted to make their articles available in repositories at their home institutions, provided that they always indicate where the articles were published and adhere to the terms of the Creative Commons license.