Abstract

CONSUEGRA-SOLANO, José et al. Acute hemorrhagic childhood edema. CES Med. [online]. 2017, vol.31, n.2, pp.192-198. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.31.2.8.

Acute hemorrhagic edema of infancy is an acute leukocytoclastic vasculi-tis, that affects children up to 2 years old, characterized by the appearance of purpura papules and plaques in the form of a bulls-eye, lower limb edema and low-grade fever; It is a benign and self-limiting disease so its management is symptomatic. The aim of this report is to describe a case acute hemorrhagic edema of infancy and to discuss their presentation with the current scientific literature. We report the clinical case of a 2 years-old girl, who consulted for edema and ecchymotic lesions on the malleolus, with a 2-month history of respiratory symptoms associated. Thereafter, coalesced and symmetrical purpuric skin lesions predominantly in lower limbs, rosettes type and raised associated with itching and similar injuries in arms, without effecting general wellbeing. Laboratory tests showed an elevated sedimentation rate and C-reactive protein, IgM positive for Mycoplasma, and leukocytoclastic vasculitis in the skin biopsy. Differential diagnoses were discarded. Treatment for respiratory symptoms and pruritus was performed. The clinical manifestation disappeared spontaneously without further recurrences. The correct diagnosis of the disease is essential to reduce sub-diagnosis, avoiding unnecessary medical expenses and antibiotic therapy.

Keywords : Edema; hemorrhagic vasculitis; leukocytoclastic; children.

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