J Korean Soc Pediatr Nephrol.  2012 Apr;16(1):51-53.

Hemorrhagic Bullous Lesions in a 9-year-old Girl with Henoch-Scholein Purpura

• Kim MK
• Park SE
• Lee JH

Abstract

Henoch-Schonlein purpura (HSP) is the most common vasculitis in children and is characterized by cutaneous purpura, arthritis, abdominal pain, and nephritis. Bullous skin lesions are rare in children. We report a case involving a 9-year-old female with HSP who displayed rapidly evolving hemorrhagic bullae from the primary purpuric lesions during systemic corticosteroid therapy. The bullae disappeared within 7 days of systemic corticosteroid therapy. Some scar lesions of the skin developed on acute phase recovered completely after 6 months. Bullae should not be considered as a poor prognostic factor of HSP and its renal outcome. Skin biopsy in HSP children with bullae is not necessary if clinical diagnostic criteria of HSP are met. However, further evaluation of more pediatric HSP with bullae is needed to get the clearer conclusions. We report a 9-year-old female with HSP who showed the rapidly evolving hemorrhagic bullae from primary purpuric lesions during systemic corticosteroid therapy.

Keyword

Arthralgia; Corticosteroid; Hemorrhagic bullae; Henoch-Schonlein purpura; Hematuria

MeSH Terms

Abdominal Pain
Arthralgia
Arthritis
Biopsy
Blister
Child
Cicatrix
Female
Hematuria
Humans
Nephritis
Purpura
Purpura, Schoenlein-Henoch
Skin
Vasculitis