Acute hemorrhagic oedema

Case report


B. Zendah, M. Shafi, K. Elgaed, I. Ganaba, M. Benghazil

Dermatology Department, Tripoli Medical Centre.
Faculty of Medicine, Alfatah University, Tripoli, Libya

JMJ Vol.3 No.2 (September) 2004: 95-96


We report a 7 months old Libyan male infant who presented with sudden appearance of recurrent crops of non-itchy oedematous swellings of both ears, face, scrotum, hands and feet with sparing of the trunk and neck. It was associated with maculopapular, medallion like and polycyclic purpuric plaques. The lesions were preceded by diarrhea and acute tonsillitis one month before the attack. Physical examination was normal apart from low grade fever.Laboratory investigations revealed leukocytosis, thrombocytosis and elevated ESR. Dermatohistopathology demonstrated a small vessel leukocytoclastic vasculitis. As the patient skin lesions got worse, he was treated with short course of systemic corticosteroids and prophylactic antibiotic. Good improvement was observed within few days, and complete resolution after 10 days.

Keywords: Acute hemorrhagic oedema, purpuric plaques