Myalgias and facial edema

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 H...

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Bibliographic Details
Main Author: Wakim, Gerard (author)
Other Authors: Youssef, Nour (author), Khamash, Dina (author), Nicolas, Gregory N. (author)
Format: article
Published: 2017
Online Access:http://hdl.handle.net/10725/9895
http://dx.doi.org/10.12659/MSCR.905877
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
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Summary: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.