
Atypical purpura location in a Sudanese infant with Henoch-Schonlein purpura
Author(s) -
Mumen Abdalazim Dafallah,
A. A. Dafalla,
Esraa Ahmed Ragab,
Fawzeia Hamad
Publication year - 2021
Publication title -
sudanese journal of paediatrics
Language(s) - English
Resource type - Journals
ISSN - 0256-4408
DOI - 10.24911/sjp.106-1614703471
Subject(s) - medicine , rash , henoch schonlein purpura , purpura (gastropod) , dermatology , palpable purpura , rheumatology , vasculitis , buttocks , vomiting , rheumatism , pediatrics , surgery , disease , ecology , biology
Henoch-Schönlein purpura (HSP) is a self-limited systemic vasculitis seen most commonly in paediatric group with multi organ involvements. We report a case of an infantile female who presented with cough, diarrhoea and vomiting. Two days later, she suddenly developed an erythematous, non-pruritic rash involving feet, thighs, buttocks and face; the lesion spared the trunk. Joints pain and swellings were also noticed. Coronavirus disease-19 Polymerase chain reaction (PCR) test was negative. She was diagnosed with HSP based on the American College of Rheumatology and European League Against Rheumatism, and Paediatric Rheumatology European Society criteria. The rash faded spontaneously within 2 weeks. We conclude that the careful skin examination is crucial for diagnosis of HSP.