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Acute hemorrhagic edema in an infant mimicking Henoch-Schönlein purpura: a case study  

Lee, Hyang Mo (Department of Pediatrics, School of Medicine Chonbuk National University)
Kang, Eun Young (Department of Pediatrics, School of Medicine Chonbuk National University)
Kim, Han Uk (Department of Dermatology, the Research Institute of Clinical Medicine, School of Medicine Chonbuk National University)
Hwang, Pyoung Han (Department of Pediatrics, School of Medicine Chonbuk National University)
Publication Information
Clinical and Experimental Pediatrics / v.49, no.12, 2006 , pp. 1354-1357 More about this Journal
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 $Henoch-Sch{\ddot{o}}nlein$ 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.
Keywords
Acute hemorrhagic edema of infancy (AHEI); Leukocytoclastic vasculitis; Purpura;
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