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Medical Science Monitor Basic Research


Myalgias and Facial Edema: Atypical Presentation of Henoch-Schönlein Purpura in an 8-Year-Old Girl

Gerard Wakim, Nour Youssef, Dina Khammash, Gregory N. Nicolas

Med Sci Case Rep 2017; 4:90-94

DOI: 10.12659/MSCR.905877

Available online: 2017-09-05

Published: 2017-09-05


BACKGROUND: Henoch-Schönlein purpura (HSP), the most common childhood vasculitis, is classically associated with the appearance of non-thrombocytopenic purpura. Nevertheless, unspecific systemic symptoms such as abdominal pain and arthralgias may precede the hallmark trait. A rare manifestation of HSP, typically seen in children less than 2 years of age, is facial edema.
CASE REPORT: We report the case of an 8-year-old girl who presented initially with myalgias, and only later developing purpura and facial edema indicative of an underlying vasculitis.
CONCLUSIONS: Failure to identify atypical presentations of HSP may lead to delays in treatment, prolong hospital stay, and end-organ damage. This case highlights the rare but possible signs and symptoms of HSP with an emphasis on the heterogeneity of the disease.

Keywords: 11-Hydroxycorticosteroids, Hospitals, Pediatric, Purpura, Schoenlein-Henoch