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November 1990

Purpuric Vesicular Eruption in a 7-Year-Old Girl

Author Affiliations

Hospitals of the University Health Center of Pittsburgh (Pa)

Arch Dermatol. 1990;126(11):1497-1498. doi:10.1001/archderm.1990.01670350111020

REPORT OF A CASE  A 7-year-old girl was brought to the emergency room for examination of a bullous eruption on her legs for 7 days. She experienced intermittent migratory arthralgias and refused to bear weight on her left foot for the preceding 2 days. She had been well, except for an upper respiratory infection 1 month earlier. There was no history of fever, hematuria, abdominal pain, vomiting, or diarrhea. She was taking no medications.Physical examination revealed a healthy-appearing child with tender swelling of her left ankle. Cutaneous examination showed multiple purpuric plaques with polycyclic margins covering the shins (Figs 1 and 2). Several lesions had a central hemorrhagic bulla, while others showed rosettes of vesicles and bullae on a purpuric base. Purpuric papules were scattered on her buttocks and the extensor surfaces of her upper arms. The oral mucosa, palms, and soles were without lesions.Results from laboratory studies

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