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

Korean Journal of Pediatrics 2006;49(12):1354-1357.
Published online December 15, 2006.
Acute hemorrhagic edema in an infant mimicking Henoch-Sch nlein purpura: a case study
Hyang Mo Lee1, Eun Young Kang1, Han Uk Kim2, Pyoung Han Hwang1
1Department of Pediatrics, the Research Institute of Clinical Medicine, School of Medicine Chonbuk Na
2Department of Dermatology*, the Research Institute of Clinical Medicine, School of Medicine Chonbuk
헤노호-쉔라인 자반증으로 오인된 영아 급성
이향모1, 강은영1, 김한욱2, 황평한1
1전북대학교 의과대학 소아과학교실
2전북대학교 의과대학 피부과학교실
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- Schönlein 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.
Key Words: Acute hemorrhagic edema of infancy (AHEI) , Leukocytoclastic vasculitis , Purpura


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