Article Text
Abstract
A 14-year-old boy with recent antibiotic treatment for tonsillitis, presented to the emergency department with 1-week history of worsening rash and haemorrhagic bullae involving the bilateral legs, trunk and hands (figures 1 and 2). Laboratory results were significant for proteinuria (2+protein) and haematuria (1+, 5–10 red blood cells/high power field); 24 hours urinary protein and renal function were within normal limits. The patient had an inconclusive skin biopsy.
Questions
What is the most probable diagnosis?
Bullous Ig A vasculitis
Meningococcemia
Bullous impetigo
Eosinophilic granulomatosis with polyangiitis
Cryoglobulinemia
What is the best test which will establish the diagnosis in this patient?
Renal ultrasound
Renal biopsy
Abdominal ultrasound
Creatinine clearance
What is first line of treatment in this patient?
Antibiotics
Steroids
Surgical debridement
Multispecialty consultation
Immunosuppressants such as azothioprine
What other systems can this condition affect besides the skin?
Lungs
Kidneys
Spleen
Nervous system
A, B and D
Questions Answers can be found on page 02.
- general paediatrics
- dermatology
- immunology
- rheumatology
- nephrology