J Rheum Dis.  2011 Dec;18(4):327-328. 10.4078/jrd.2011.18.4.327.

Henoch-Schonlein Purpura with Hemorrhagic Bullous Skin Lesions

Affiliations
  • 1Division of Rheumatology, Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Korea. ywhim@jbnu.ac.kr

Abstract

No abstract available.


MeSH Terms

Purpura, Schoenlein-Henoch
Skin

Figure

  • Figure 1. Multiple hemorrhagic bullous and purpuric lesions on the leg.

  • Figure 2. Edematous wall thickening of duodenal 3 rd portion and terminal ileum.

  • Figure 3. Several erythematous and edematous mucosa and pat-ches were seen at the bulb and the second portion of duodenum.

  • Figure 4. Biopsy from the bullae showed a necrotic epidermis, perivascular neutrophilic, lymphocytic infiltration with karyorr-hexis, and endothelial swelling, whichs was compatible with leukocytoclastic vasculitis.


Reference

References

1. Kausar S, Yalamanchili A. Management of haemorrhagic bullous lesions in Henoch-Schö nlein purpura: is there any consensus? J Dermatolog Treat. 2009; 20:88–90.
2. Trapani S, Mariotti P, Resti M, Nappini L, de Martino M, Falcini F. Severe hemorrhagic bullous lesions in Henoch Schonlein purpura: three pediatric cases and review of the literature. Rheumatol Int. 2010; 30:1355–9.
Article
3. Park SE, Lee JH. Haemorrhagic bullous lesions in a 3-year-old girl with Henoch-Schö lein purpura. Acta Paediatr. 2011; 100:e283–4.
4. Shin JI, Lee JS. Hemorrhagic bullous lesions in Henoch-Schö nlein purpura. Pediatr Int. 2007; 49:121.
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