RT Book, Section
A1 Mayeaux, E.J.
A1 Martin, Nathan Scott
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114877146
T1 Vasculitis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114877146
RD 2024/04/24
AB A  previously  healthy  11-year-old  girl  presents  to  her  pediatrician  with  a  rash  on  her  legs  and  knee  pain.  She  admits  to  having  abdominal  pain  the  day  before  but  her  stomach  is  feeling  better  today.  She  denies  fever,  nausea,  vomiting,  and  diarrhea.  The  right  knee  hurts  sufficiently  that  she  has  been  limping  since  she  woke  up.  Upon  exam  the  child  is  afebrile  and  does  not  appear  to  be  in  distress.  She  has  an  impressive  rash  on  her  legs  with  right  knee  swelling  (Figure  153-1).  The  rash  is  petechial  and  purpuric  and  slightly  palpable.  The  linear  pattern  running  down  the  thigh  matches  the  seams  of  her  pants.  A  urinalysis  performed  in  the  office  reveals  blood  in  the  urine  but  no  protein.  The  pediatrician  diagnoses  Henoch  Schonlein  purpura  (a  type  of  vasculitis)  and  discusses  the  treatment  plan  with  the  girl  and  her  mother.