Rashes

Question 1

What are your differentials for a child presenting with a non-blanching rash?

Answer 1

1. Meningococcal sepsis
2. ITP
3. IgA vasculitis (Henoch-Schönlein Purpura)
4. Non-accidental injury

Question 2

What are the clinical features of Henoch-Schönlein purpura?

Answer 2

1. Skin: purpuric, non blanching rash usually on lower limb incl. butthocks
2. Joint: Bilateral arthralgia+ arthritis, usually knee or ankle
3. GI: abominal pain, malaemna,
4. Renal: IgA glomerulonephritis and nephritic syndrome

Question 3

What is the management of Henoch-Schönlein Purpura?

Answer 3

Usually supportive management
If proteinuria/haematuria
- regular periodical follow up until resolved