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Pediatric emergency care · Jan 2009
Case ReportsFacial edema as the initial presentation of Henoch-Schonlein purpura in a 5-year-old boy.
- Te-Yu Hung, Min-Chang Liu, Chi-Feng Hsu, and Yu-Chen Lin.
- Department of Pediatrics, Chi Mei Medical Center, Tainan, Taiwan.
- Pediatr Emerg Care. 2009 Jan 1; 25 (1): 31-2.
AbstractThe appearance of nonthrombocytic purpura is an important clue for the diagnosis of Henoch-Schonlein purpura (HSP). However, this classic skin lesion may be preceded by other symptoms such as abdominal pain and arthralgia, and the diagnosis may be delayed. Facial edema as a manifestation of HSP is typically observed in children younger than 2 years. We report a 5-year-old boy with facial edema at presentation; until 3 days later, the boy returned because of abdominal complication (intussusception) and developed purpura, the diagnosis of HSP was established.
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