Acute hemorrhagic edema of young children: a prospective case series.

Ferrarini, Alessandra; Benetti, Cecilia; Camozzi, Pietro; Ostini, Alessandro; Simonetti, Giacomo; Milani, Gregorio P; Bianchetti, Mario G; Lava, Sebastiano (2015). Acute hemorrhagic edema of young children: a prospective case series. European journal of pediatrics, 175(4), pp. 557-561. Springer 10.1007/s00431-015-2671-9

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Acute hemorrhagic edema of young children is a rare leukocytoclastic vasculitis that has been reported exclusively in small retrospective cases series, case reports, or quizzes. Considering that retrospective experience deserves confirmation in at least one observational prospective study, we present our experience with 16 children (12 boys and 4 girls, 5-28 months of age) affected by acute hemorrhagic edema. The patients were in good general conditions and with a low-grade or even absent fever. They presented with non-itching red to purpuric targetoid lesions not changing location within hours, with non-pitting and sometimes tender indurative swelling, and without mucous membrane involvement or scratch marks. Signs for articular, abdominal, or kidney involvement were absent. Antinuclear or antineutrophil cytoplasmic autoantibodies were never detected. The cases were managed symptomatically as outpatients and fully resolved within 4 weeks or less. No recurrence or familiarity was noted.

CONCLUSION

This is the first prospective evaluation of hemorrhagic edema. Our findings emphasize its distinctive tetrad: a well-appearing child; targetoid lesions that do not change location within hours; non-pitting, sometimes tender edema; complete resolution without recurrence. What is known • Acute hemorrhagic edema of young children is considered a benign vasculitis. • There have been ≈100 cases reported in small retrospective case series. What is new • The first prospective evaluation of this condition emphasizes its features: febrile prodrome; well-appearing child; targetoid lesions not changing location within hours; non-pitting, sometimes tender indurative edema; absent extracutaneous involvement; resolution within 3 weeks. • Antineutrophil cytoplasmic autoantibodies do not play a pathogenic role.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension

UniBE Contributor:

Simonetti, Giacomo, Lava, Sebastiano

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0340-6199

Publisher:

Springer

Language:

English

Submitter:

Anette van Dorland

Date Deposited:

27 Apr 2016 12:51

Last Modified:

05 Dec 2022 14:53

Publisher DOI:

10.1007/s00431-015-2671-9

PubMed ID:

26608931

Uncontrolled Keywords:

Acute hemorrhagic edema of young children, Antineutrophil cytoplasmic autoantibodies, Child, Finkelstein–Seidlmayer disease, Leukocytoclastic vasculitis

BORIS DOI:

10.7892/boris.79298

URI:

https://boris.unibe.ch/id/eprint/79298

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