Pediatric emergency care
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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.
The 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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Throat pain is a common presenting complaint in the pediatric emergency department and often occurs secondary to non-life-threatening conditions. Certain etiologies may initially appear benign, but if not recognized and treated, may result in airway compromise. Patients with blunt trauma to the neck may present with throat pain. ⋯ This injury is rarely seen in isolation. We present a case of laryngeal injury due to blunt trauma to the neck. This case illustrates the potentially serious consequence after an apparently minor traumatic injury.