Recurrent Henoch-Schönlein Purpura with bullous rash and pulmonary nodules.

Journal Article (Journal Article)

BACKGROUND: Henoch-Schönlein purpura (HSP) is the most common vasculitis of childhood. It has a characteristic rash described as palpable purpura that most frequently affects the distal lower extremities and buttocks. HSP rarely presents with bullous rash nor pulmonary nodules. CASE PRESENTATION: We present a novel case of a 12-years-old female with recurrent pediatric HSP with a combination of the rare manifestations of bullous rash and pulmonary nodules. She initially presented with the bullous rash, chest pain, cough, and abdominal pain. Patient was successfully treated with intravenous pulse corticosteroids followed by a high dose oral corticosteroid taper, with resolution of the bullous rash and pulmonary nodules. CONCLUSION: The rare manifestations of scarring bullous rash and pulmonary nodules can be presenting features of pediatric HSP, the combination of which has not been previously reported. The treatment of intravenous corticosteroid resolved patient's abdominal symptoms, rash and pulmonary nodules.

Full Text

Duke Authors

Cited Authors

  • Zheng, C; Childers, J; Rabinovich, E; Nazareth-Pidgeon, K

Published Date

  • May 24, 2020

Published In

Volume / Issue

  • 18 / 1

Start / End Page

  • 40 -

PubMed ID

  • 32448396

Pubmed Central ID

  • PMC7245848

Electronic International Standard Serial Number (EISSN)

  • 1546-0096

Digital Object Identifier (DOI)

  • 10.1186/s12969-020-00436-7

Language

  • eng

Conference Location

  • England