IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 1976 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (77 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  


  In this article
    References

 Article Access Statistics
    Viewed5193    
    Printed80    
    Emailed4    
    PDF Downloaded147    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 
LETTER TO EDITOR
Year : 2003  |  Volume : 69  |  Issue : 6  |  Page : 427
 

Urticarial vasculitis of infancy (Acute hemorrhagic edema)


Dept. of Dermatology, PSG Institute of Medical Sciences & Research, Coimbatore

Correspondence Address:
Department of Dermatology, PSG Hospital, Peelamedu, Coimbatore – 641004
psgimsr@md3.vsnl.net.in



How to cite this article:
Lakshmi C, Srinivas C R. Urticarial vasculitis of infancy (Acute hemorrhagic edema). Indian J Dermatol Venereol Leprol 2003;69:427


How to cite this URL:
Lakshmi C, Srinivas C R. Urticarial vasculitis of infancy (Acute hemorrhagic edema). Indian J Dermatol Venereol Leprol [serial online] 2003 [cited 2019 Jul 22];69:427. Available from: http://www.ijdvl.com/text.asp?2003/69/6/427/6635


Sir,
We read the article “Urticarial vasculitis in infancy” by Kaur and Thami with interest.[1] We believe that the reported case may be an example of acute hemorrhagic edema and would like to share our experience regarding a similar case.

A 5-year-old girl presented with tender purpuric-ecchymotic plaques ranging from 2.5-4 cm on the right cheek [Figure - 1], lower lip, trunk [Figure - 2], lower limbs and gluteal region. They had a darker hemorrhagic center and showed centrifugal spread, giving a rosette, medallion or target-like configuration described as cockade or medallion-like purpura.[2]

Routine investigations showed leukocytosis and thrombocytosis. The ANA test was negative. Histopathological examination showed leukocytoclastic vasculitis, clinching the diagnosis of acute hemorrhagic edema.[2]

Acute hemorrhagic edema is a benign form of leukocytoclastic vasculitis limited to the skin that occurs in children younger than 2 years of age. It is characterized by circinate, en cockade purpura and ecchymosis of the acral extremities. The clinical manifestations were first described in 1913 by Snow who considered it an infantile variant of Henoch-Schönlein purpura.[3] It was recognized as a distinct clinical entity by Finkelstein (1938) and Seidlmeyer (1939).[2],[3] The remarkable good health of the patient and the benign nature of the disease contrasts with the alarming and extensive skin involvement. The interesting features in our case were the extensive truncal involvement and the occurrence in an older child. 

      References Top

1.Kaur S, Thami GP. Urticarial vasculitis in infancy. Indian J Dermatol Venereol Leprol 2003;69:223-4.  Back to cited text no. 1    
2.Baselga E, Drolet BA, Esterly NB. Purpura in infants and children. J Am Acad Dermatol 1997;37:684-5.  Back to cited text no. 2    
3.Taieb A, Le Grain V. Acute hemorrhagic edema of skin in infancy. In: Harper J, Oranje A, Prose N, editors. Textbook of pediatric dermatology. Oxford: Blackwell Science; 2002. p. 1569-73.  Back to cited text no. 3    

 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow