PHÙ NỀ PHẦN MỀM DƯỚI DA GÂY BIẾN DẠNG MẶT Ở MỘT TRẺ BỊ BAN XUẤT HUYẾT HENOCH-SCHÖNLEIN

Abstract

Introduction: Henoch-Schönlein purpura (HSP) is the most common systemic vasculitis in children, characterized by purpuric rash in combination with gastrointestinal, joint, and renal manifestations. Subcutaneous edema in HSP is transient, common in the feet and hands, rare in other locations. Objectives: We reported a 6-year-old boy with HSP who presented with the characteristics purpura and bilateral ankle arthritis. Case report: He did not have abdominal pain and no abnormalities in urine test. After 3 days of treatment at the Department of Pediatrics, Bach Mai Hospital with oral prednisolone 1 mg/kg/day, the patient's arthritis improved, but he had severe edema causing disfiguring face. The characteristic of edema was non-pitting and painless. We remained the dose of prednisolone, subcutaneous edema gradually decreased and disappeared after 4 days. Conclusion: Subcutaneous edema in HSP can be found at any location, not only in common sites such as the feet and hands. Clinicians need to be aware of this manifestation to avoid confusion in diagnosis and treatment HSP. Keywords: Henoch-Schönlein purpura, subcutaneous edema, disfiguring face