Abstract
Acute infantile hemorrhagic edema (AIHE) is a leukocytoclastic vasculitis that is confined to the skin without visceral involvement. Edema and purpuric lesions characterize the disease. It is considered as an uncommon form of cutaneous vasculitis occurring in children younger than 2 years of age. By many authors, it is considered to be a variant of Henoch Schönlein Purpura because of similarities in causality and histopathology. In spite of its clinical violent onset, the course is often benign and spontaneous recovery is observed within several weeks. Although the etiology is unknown, AIHE often follows infections, drug treatment or vaccination. Here, a tenmonth-old girl presenting with purpuric plaques on the right buccal area and edema on the face and eye and clinically diagnosed as AIHE is presented.
References
- Karremann M, Jordan AJ, Bell N, Witsch M, Dürken M. Acute hemorrhagic edema of infancy: report of 4 cases and review of the current literature. Clin Pediatr 2009; 48: 323-6.
- Dönmez O, Memeşa A. Akut infantil hemorajik ödem: Üç olgunun takdimi. ADÜ Tıp Fakültesi Dergisi 2001; 2: 31-3.
- Baselga E, Drolet BA, Esterly NB. Purpura in infants and children. J Am Acad Dermatol 1997; 37: 673-705.
- Di Lernia V, Lombardi M, Lo Scocco G. Infantile acute hemorrhagic edema and rotavirus infection. Pediatr Dermatol 2004; 21: 548-50.
- Caksen H, Odabaş D, Kösem M, Arslan S, Oner AF, Ataş B, Akçay G, Ceylan N. Report of eight infants with acute infantile hemorrhagic edema and review of the literature. J Dermatol 2002; 29: 290-5.
- Saraçlar Y, Tinaztepe K, Adalıoğlu G, Tuncer A. Acute hemorrhagic edema of infancy (AHEI)--a variant of Henoch-Schönlein purpura or a distinct clinical entity? J Allergy Clin Immunol 1990; 86: 473-83.
- Yu JE, Mancini AJ, Miller ML. Intussusception in an infant with acute hemorrhagic edema of infancy. Pediatr Dermatol 2007; 24: 61-4. Legrain V, Lejean S, Taïeb A, Guillard JM, Battin J, Maleville J. Infantile acute hemorrhagic edema of the skin: study of ten cases. J Am Acad Dermatol 1991; 24: 17-22.
- Da Silva Manzoni AP, Viecili JB, de Andrade CB, Kruse RL, Bakos L, Cestari TF. Acute hemorrhagic edema of infancy: A case report. Int J Dermatol 2004; 43: 48-5
Abstract
Akut infantil hemorajik ödem (AİHÖ), iç organ tutulumu olmaksızın, cilde sınırlı bir lökositoklastik vaskülittir. Ödem ve purpurik lezyonlar hastalığı karakterize eder. İki yaş altında ortaya çıkan kutanöz vaskülitin nadir bir formu olarak düşünülmektedir. Bir çok yazar tarafından Henoch Schönlein Purpurası ile histopatolojik ve nedensel benzerlikler taşıdığı kabul edilir. Gürültülü başlangıcına rağmen, gidiş selimdir ve birkaç hafta içerisinde spontan iyileşme görülür. Etyolojisi bilinmemekle birlikte, AİHÖ sıklıkla enfeksiyonlar, ilaç kullanımı ve aşılamayı takip eder. Burada, sağ yanağında purpurik plak şeklinde döküntü ve yüzde ve gözde ödemle başvuran ve klinik olarak AİHÖ tanısı almış on aylık kız olgu sunulmaktadır.
References
- Karremann M, Jordan AJ, Bell N, Witsch M, Dürken M. Acute hemorrhagic edema of infancy: report of 4 cases and review of the current literature. Clin Pediatr 2009; 48: 323-6.
- Dönmez O, Memeşa A. Akut infantil hemorajik ödem: Üç olgunun takdimi. ADÜ Tıp Fakültesi Dergisi 2001; 2: 31-3.
- Baselga E, Drolet BA, Esterly NB. Purpura in infants and children. J Am Acad Dermatol 1997; 37: 673-705.
- Di Lernia V, Lombardi M, Lo Scocco G. Infantile acute hemorrhagic edema and rotavirus infection. Pediatr Dermatol 2004; 21: 548-50.
- Caksen H, Odabaş D, Kösem M, Arslan S, Oner AF, Ataş B, Akçay G, Ceylan N. Report of eight infants with acute infantile hemorrhagic edema and review of the literature. J Dermatol 2002; 29: 290-5.
- Saraçlar Y, Tinaztepe K, Adalıoğlu G, Tuncer A. Acute hemorrhagic edema of infancy (AHEI)--a variant of Henoch-Schönlein purpura or a distinct clinical entity? J Allergy Clin Immunol 1990; 86: 473-83.
- Yu JE, Mancini AJ, Miller ML. Intussusception in an infant with acute hemorrhagic edema of infancy. Pediatr Dermatol 2007; 24: 61-4. Legrain V, Lejean S, Taïeb A, Guillard JM, Battin J, Maleville J. Infantile acute hemorrhagic edema of the skin: study of ten cases. J Am Acad Dermatol 1991; 24: 17-22.
- Da Silva Manzoni AP, Viecili JB, de Andrade CB, Kruse RL, Bakos L, Cestari TF. Acute hemorrhagic edema of infancy: A case report. Int J Dermatol 2004; 43: 48-5
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 30, 2013 |
| Published in Issue | Year 2013Volume: 35 Issue: 4 |