Acute Hemorrhagic Edema of Infancy after Coronavirus Infection with Recurrent Rash
Open Access
- 24 January 2017
- journal article
- case report
- Published by Hindawi Limited in Case Reports in Pediatrics
- Vol. 2017, 5637503-3
- https://doi.org/10.1155/2017/5637503
Abstract
Purpura, particularly when accompanied by fever, is a worrisome finding in children. Acute hemorrhagic edema of infancy (AHEI) is a benign type of small-vessel leukocytoclastic vasculitis that presents with progressive purpura and has an excellent prognosis. Patients with AHEI present with large, target-like purpuric plaques affecting the face, ear lobes, and extremities. While the rapid onset of these skin findings can be dramatic, the child with AHEI is usually well appearing with reassuring laboratory testing. We describe a case of a previously healthy 8-month-old female who presented with progressive purpura in a nondependent distribution, low-grade fevers, and extremity swelling. An extensive workup was performed prior to making the diagnosis of AHEI. Coronavirus was implicated as the likely triggering pathogen, and the patient suffered a recurrence of purpuric rash and swelling several weeks after her initial presentation.Keywords
This publication has 12 references indexed in Scilit:
- Acute hemorrhagic edema of infancy and common mimicsThe American Journal of Emergency Medicine, 2015
- Acute hemorrhagic edema of infancy after MMR vaccineAnnals of Saudi Medicine, 2015
- Recurrent Finkelstein-Seidlmayer Disease in Four First-degree RelativesActa Dermato-Venereologica, 2015
- Community-Acquired Pneumonia Requiring Hospitalization among U.S. ChildrenThe New England Journal of Medicine, 2015
- Methylprednisolone Therapy in Acute Hemorrhagic Edema of InfancyCase Reports in Dermatological Medicine, 2014
- On Target: A Case of Acute Hemorrhagic Edema of InfancyHospital Pediatrics, 2014
- Clinical Characteristics of Children With Viral Single- and Co-infections and a Petechial RashThe Pediatric Infectious Disease Journal, 2013
- Acute Hemorrhagic Edema of Infancy: A Troubling Cutaneous Presentation with a Self‐Limiting CoursePediatric Dermatology, 2012
- Acute hemorrhagic edema of young children (cockade purpura and edema): A case series and systematic reviewJournal of the American Academy of Dermatology, 2008
- Acute Hemorrhagic Edema of Infancy: Report of 4 Cases and Review of the Current LiteratureClinical Pediatrics, 2008