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Guillermo Colantonio, MD; Viviana Kinzlansky, MD; Andrea Kahn, MD; Graciela Damilano, MD

Arch Pediatr Adolesc Med. 1997;151(5):523-524.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 1-YEAR-OLD female infant, healthy prior to admission, was hospitalized for a rash on her face, ears, and lower limbs. The lesions quickly turned purpuric, were target-shaped, and increased in number and size (Figure 1).

Results of a physical examination showed the presence of targetlike petechial ecchymotic lesions on the skin (as large as 4 cm in diameter). Some of the lesions were palpable and localized on the upper and lower limbs, face, and earlobes. No lesions were on the trunk; edema appeared on the dorsa of the hands and feet (Figure 2).

The following probable diagnoses were made: meningococcemia, Henoch-Schönlein purpura, infantile acute hemorragic edema, multiform erythema, or Kawasaki syndrome.

Leukocytes at the time were 18.6x10⁹/L; hematocrit, 0.25; erythrocyte sedimentation rate, 30 mm/h; platelets, 112x10⁹/L; Quick test, 100%; and thromboplastin time test, 35 seconds. Ceftriaxone sodium (100 mg/kg per day) was given for 48 hours . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, Medical Education and Clinical Research Center, Associated Hospital School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.

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