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Journal of the Korean Society of Pediatric Nephrology 2012;16(1): 51-53. doi: https://doi.org/10.3339/jkspn.2012.16.1.51
Henoch-Sc$ddot{o}$lein 자반증에서 출혈성 물집을 동반한 9세 소아 1례
김문규, 박성은, 이준호
1차의과학대학교 분당차병원 소아청소년과
2차의과학대학교 분당차병원 소아청소년과
3차의과학대학교 분당차병원 소아청소년과
Hemorrhagic Bullous Lesions in a 9-year-old Girl with Henoch-Sch$ddot{o}$lein Purpura
Moon-Kyu Kim, Sung-Eun Park, Jun-Ho Lee
1Departments of Pediatrics, CHA Bundang Medical Center, CHA University
2Departments of Pediatrics, CHA Bundang Medical Center, CHA University
3Departments of Pediatrics, CHA Bundang Medical Center, CHA University
Received: February 2, 2012;  Accepted: March 8, 2012.
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ABSTRACT
Henoch-Sch$ddot{o}$nlein 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.
Key words: Arthralgia | Corticosteroid | Hemorrhagic bullae | Henoch-Sch$\ddot{o}$nlein purpura | Hematuria
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