Infant with a rapidly progressing rash

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An infant presented to the emergency department with sudden onset of rapidly progressing erythematous macules and distal oedema. The rash was striking in appearance, covering most of the body, which raised concern for pressing infectious (eg, meningococcaemia) and other serious aetiologies. Nevertheless, the infant remained playful and was overall stable and posed a diagnostic and management dilemma. After an extensive workup and multispecialty consultations, the patient was eventually diagnosed with acute haemorrhagic oedema of infancy, a benign leucocytoclastic vasculitis. The patient received no treatment and resolution of the rash occurred within 7 days of onset. Recognition of this condition and its benign nature can spare patients from an extensive workup and reduce anxiety for both family members and healthcare providers.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

BMJ case reports - 14(2021), 1 vom: 25. Jan.

Sprache:

Englisch

Beteiligte Personen:

Hancock, Rachelle [VerfasserIn]
Rothman, Ilene [VerfasserIn]
Mannix, Mary Kate [VerfasserIn]
Islam, Shamim [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Dermatology
Emergency medicine
Immunology
Journal Article
Paediatrics

Anmerkungen:

Date Completed 22.02.2021

Date Revised 26.01.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2020-239353

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320572234