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.
What is the most probable diagnosis?
Bullous Ig A vasculitis
Eosinophilic granulomatosis with polyangiitis
What is the best test which will establish the diagnosis in this patient?
What is first line of treatment in this patient?
Immunosuppressants such as azothioprine
What other systems can this condition affect besides the skin?
A, B and D
QuestionsAnswers can be found on page 02.
- general paediatrics
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.