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Gerard Wakim, Nour Youssef, Dina Khammash, Gregory N. Nicolas
(Department of Pediatrics, Lebanese American University Medical Center – Rizk Hospital, Beirut, Lebanon)
Med Sci Case Rep 2017; 4:90-94
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.