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CASE REPORT
Year : 2020  |  Volume : 21  |  Issue : 3  |  Page : 215-217

A rare vasculitis with a dramatic presentation: Acute hemorrhagic edema of infancy


1 Department of Dermatology, Venereology and Leprosy, Maulana Azad Medical College, New Delhi, India
2 Department of Pathology, Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Dr. Jaspriya Sandhu
Department of Dermatology, Venereology & Leprosy Dayanand Medical College Ludhiana, Punjab 141 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpd.IJPD_84_18

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Acute hemorrhagic edema of infancy is a disease marked by its dramatic presentation of purpuric plaques in a cockade or targetoid pattern. A 1-year-old boy was brought by his mother to our outpatient department with large purpuric plaques in annular and cockade pattern over the cheeks and bilateral lower limbs. Both the pinna showed purpura in a peculiar reticulate pattern, with vesiculation seen at the margin of the lesions along with mild edema. The skin biopsy showed cutaneous small-vessel vasculitis; direct immunofluorescence showed fibrinogen deposits around the small cutaneous vessels. The unusual features of our case were the reticulate pattern of purpura seen over the ears.


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