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Rashes are one of the most common presenting symptoms in the emergency department setting; they may be a primary diagnosis or a symptom of systemic disease. Accurate diagnosis of a rash may be challenging and requires clinical acumen, systematic history and physical examination, and judicious use of diagnostic testing. This case study reviews Henoch–Schonlein ¨ purpura (HSP) or IgA vasculitis, a common vasculitis of childhood. Although typically a self-limited disease, HSP may cause serious complications in a small subset of patients and requires monitoring. In addition, there are several differential diagnoses that may mimic HSP that are more serious. This article reviews the case of a 6-year-old boy who presented to a community emergency department and had a nontypical clinical course. Key words: Henoch–Schonlein ¨ purpura, IgA-mediated inflammation, pediatric vasculitis, purpura NE OF THE MOST common symp- CASE STUDY toms that present in both the emer- History of Present Illness O gency department (ED) and primary care is rash. Rashes come in all colors, shapes, M.B. was a 6-year-old boy who presented to and sizes and have many different causes. the local ED with his mother in no appar- In the case presented in this article, the ent distress,
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Jul 1, 2014
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