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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

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

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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