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Clinical VignetteA clinical vignette is a concise presentation of an interesting or challenging patient encounter that stimulated an interesting learning issue.
Child With Palpable Non Blanching Rashes -
02-06-2007, 10:27 AM
Clinical History :
One week ago, the mother of this 4-year-old girl noted small red dots on the child's legs, which the primary pediatrician diagnosed as bug bites. The lesions became larger, and a schoolteacher confronted the mother about what she thought were bruises on the child's legs. Concerned, the mother brought the child to a dermatologist, and biopsy was performed; however, the mother states that no diagnosis was made. Now, nearly hysterical, the mother brings her daughter to the emergency department and complains that the rash looks worse and that the child refuses to walk. The girl is afebrile, appears well, and she is able to ambulate. What is the diagnosis?
Hint
Children with this idiopathic syndrome often complain of abdominal pain. Skin Leisons are palpable but do not blanch.
What is the Diagnosis & Treatment ?
remember that silence is sometimes the best answer
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Re: Child With Palpable Non Blanching Rashes -
02-06-2007, 10:50 AM
Henoch-Schonlein Purpura
Treatment: Usually corticosteroid (prednisone) is given. Dose is calculated according to body weight and condition of the patient.
The most important is Bed rest. At least 1 month bedrest is required.
This disease is dangerous as intestinal hemorrhage may occur. So Occult blood test should be done to rule out intestinal bleeding. Manage the complications as required.
"Be good, Do good"
Last edited by flirt : 02-06-2007 at 11:01 AM.
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Re: Child With Palpable Non Blanching Rashes -
25-12-2007, 10:21 PM
ya, and not to forget the famous triad of HSP..which is palpable purpura, abdominal pain and joint pain.. Btw here is one doubt for you t o ponder on.. why is that purpura in conditions like HSP palpable and not so in other conditions?
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