2 / 17
Pediatrics Conference 2018
Journal of Pediatric Care
ISSN: 2471-805X
Page 38
March 26-27, 2018
Edinburgh, Scotland
2
nd
Edition of International Congress on
Pediatrics
A
n 8-year old boy was admitted with a 72 h history of painful
swelling of the upper and lower limbs. The oedema had been
worsening within the last 24 h and he refused to walk and also
reported non-focal abdominal pain that begun 4 days ago. He had
no remarkable history apart from a drop off his bicycle 4 days
ago after which he was examined in the emergency department
and no serious trauma were found. Physical examination
revealed painful pitting edema of the limbs along with periorbital
oedema, scrotal swelling and a small non-blanching rash on the
limbs and on the abdomen that was barely seen. Laboratory
assessment showed mild thrombocytosis, increased ESR and
decreased serum albumin. He started complaining of severe
abdominal ache and subsequently, an abdominal ultrasound was
performed and showed small bowel intussusception that was
also confirmed by CT. Ninety six hours after the initiation of the
edema, palpable purpuric lesions indicative of Henoch-Schonlein
purpura (HSP) were appeared on the boy’s legs. Therefore, the
patient was administered steroids and showed remarkable
clinical improvement. Facial edema in HSP have been previously
described mainly in children less than two years old, in this case
not only the primary edema was prominent and involved multiple
body parts, but also it was spread all over his body. Non-typical,
subcutaneous edema involving one or multiple parts of the body
represents a severe feature of HSP that may precede the purpuric
rash. Thus, pediatricians should be aware of this possibility and
should always have a high index of suspicion for HSP.
Biography
Kyrina Anastasia has completed her Medical studies from National and
Kapodistrian Athens University. She has worked as a Pediatric Trainee at
General Hospital of Kozani in Greece. She has done her neonatal rotation at
Chelsea and Westminster Hospital in London. She is now a Clinical Fellow
in Pediatrics and Neonates at Countess of Chester Hospital in Liverpool.
anastasiakir@hotmail.comDiffuse tender edema and intussusception: an unusual initial
presentation of Henoch-Schonlein purpura
Kyrina Anastasia, Krepis Panagiotis, Ioannis Leptidis, Korexenidou Magda
and
Zarkinos Fotios
National and Kapodistrian Athens University, Greece
Kyrina Anastasia et al., J Pediatr Care, Volume 4
DOI: 10.21767/2471-805X-C1-006