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 |
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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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