Affordable Access

Hemorrhagic vesicle-bullous lesions in Henoch-Schonlein purpura and review of literature

Authors
  • RABELO JUNIOR, Carlos
  • YAMAGUTI, Renata
  • RIBEIRO, Aline Miranda
  • MELO, Barbara Araujo
  • CAMPOS, Lucia Arruda
  • SILVA, Clovis Almeida da
Publication Date
Jan 01, 2008
Source
Biblioteca Digital da Produção Intelectual da Universidade de São Paulo (BDPI/USP)
Keywords
Language
Portuguese
License
Unknown
External links

Abstract

Introduction: The characteristic feature of Henoch-Schonlein purpura (HSP) is palpable purpura, however hemorrhagic vesicles and blisters have been rarely reported. Case reports: From January 1983 to December 2007, 5079 patients were followed in our Pediatric Rheumatology Unit, 232 (4.6%) of them with the diagnosis of HSP. Three female patients (1.3%) presented hemorrhagic vesicles and bullous lesions associated with palpable purpura. In one case the lesions were severe and widespread, and in another they preceded the typical purpuric lesions. In both cases, skin biopsy disclosed leukocytoclastic vasculitis with IgA and C3 deposits. Two patients healed with residual lesions: ulcers in one case and skin hyperpigmentation in two of them. Discussion: Hemorrhagic vesicle-bullous lesions are rare in HSP This manifestation may represent a more severe and prolonged disease course with scars or may precede typical skin lesions.

Report this publication

Statistics

Seen <100 times