Henoch Schonlein Purpura, Vasculitis, Leukocytoclastic, Vasculitis - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Henoch Schonlein purpura vasculitis, leukocytoclastic vasculitis

Body Site

foot

Age

10 years

Pigmentation

light

Organization

grouped, clustered

Color

purple

Morphology

vesiculobullous (blister, pustule)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This healthy 10-year-old girl developed purpuric papules consistent with a leukocytoclastic vasculitis on her distal extremities several weeks after a viral upper respiratory infection. She had migratory swelling of the hands and feet and intermittent crampy abdominal pain. Her urinalysis and blood pressure were normal. A skin biopsy from a lesion on the top of the foot showed a leukocytoclastic vasculitis, and direct immunofluorescence demonstrated deposition of IgA around dermal blood vessels.

Description

purpuric papules and plaques with central necrotic vesicles

Image Added

1/30/2004 18:38:34

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Other Resources

PubMed Medline Plus Medscape

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