Abstract

ADRIAO, Mariana; SARMENTO, João  and  BARREIRA, João. Dermatology case. Nascer e Crescer [online]. 2018, vol.27, n.3, pp.203-205. ISSN 0872-0754.  https://doi.org/10.25753/BirthGrowthMJ.v27.i3.10199.

Acute hemorrhagic edema of infancy (AHEI) is a small vessels leukocytoclastic vasculitis which typically occurs between 4 and 24 months. It manifests with  palpable purpuric skin lesions and extremities’ edema. We describe the clinical case of an 18 month-old child brought to the Emergency Room due to purpuric skin lesions distributed throughout his limbs and face with about 12 hours of evolution. Due to the well-being and the normal analytic study, the diagnosis of AHEI was presumed. The progress of the skin lesions was evaluated, with follow-up at 48 hours and seven days after the beginning of the lesions. It was possible to note their evolution and disappearing after three weeks. AHEI is a self-limited disease, with a benign course, which contrasts with its exuberant purpuric skin lesions. Among its principals differential diagnosis is Henoch-Schonlein Purpura. It is important to recognize this disease, avoiding unnecessary treatments and concerns.

Keywords : Acute; hemorrhagic; infancy; leukocytoclastic vasculitis; purpura; self-limited.

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