Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand

Acute hemorrhagic edema of infancy (AHEI) is a benign and rare presentation of leukocytoclastic vasculitis that usually affects children between 4 months and 24 months of age. It is characterized by purpuric and ecchymotic lesions that mainly involve the distal extremities, the face, and the ears. I...

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Main Authors: Rajan Kumar, Akanksha Raj, Manoj Kumar, Deepak Kumar, Sudip Bhattacharya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-12-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_114_23
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author Rajan Kumar
Akanksha Raj
Manoj Kumar
Deepak Kumar
Sudip Bhattacharya
author_facet Rajan Kumar
Akanksha Raj
Manoj Kumar
Deepak Kumar
Sudip Bhattacharya
author_sort Rajan Kumar
collection DOAJ
description Acute hemorrhagic edema of infancy (AHEI) is a benign and rare presentation of leukocytoclastic vasculitis that usually affects children between 4 months and 24 months of age. It is characterized by purpuric and ecchymotic lesions that mainly involve the distal extremities, the face, and the ears. It usually follows some viral or bacterial infection. Here, we report a case of a 25-month-old male child who presented with mild grade fever and upper respiratory tract infection symptoms. Subsequently, he developed progressive purpuric and ecchymotic lesions over his body, mainly on his lower limbs and face. Laboratory tests were done, showing elevated C-reactive protein and erythrocyte sedimentation rate with rest of normal results. In view of patients having respiratory symptoms, reverse-transcriptase polymerase chain reaction of a nasopharyngeal swab for coronavirus disease 2019 (COVID-19) was done, which came out to be positive. The baby received supportive care only. He gradually improved and was discharged successfully. AHEI may be a possible after effect of COVID-19 infection.
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institution Kabale University
issn 2249-4863
2278-7135
language English
publishDate 2023-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Family Medicine and Primary Care
spelling doaj-art-86e540389b8c42e8889cbc14912948c42024-11-11T13:53:30ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-12-0112123409341110.4103/jfmpc.jfmpc_114_23Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in JharkhandRajan KumarAkanksha RajManoj KumarDeepak KumarSudip BhattacharyaAcute hemorrhagic edema of infancy (AHEI) is a benign and rare presentation of leukocytoclastic vasculitis that usually affects children between 4 months and 24 months of age. It is characterized by purpuric and ecchymotic lesions that mainly involve the distal extremities, the face, and the ears. It usually follows some viral or bacterial infection. Here, we report a case of a 25-month-old male child who presented with mild grade fever and upper respiratory tract infection symptoms. Subsequently, he developed progressive purpuric and ecchymotic lesions over his body, mainly on his lower limbs and face. Laboratory tests were done, showing elevated C-reactive protein and erythrocyte sedimentation rate with rest of normal results. In view of patients having respiratory symptoms, reverse-transcriptase polymerase chain reaction of a nasopharyngeal swab for coronavirus disease 2019 (COVID-19) was done, which came out to be positive. The baby received supportive care only. He gradually improved and was discharged successfully. AHEI may be a possible after effect of COVID-19 infection.https://journals.lww.com/10.4103/jfmpc.jfmpc_114_23aheicovid-19finkelstein diseaseseidlmayer disease
spellingShingle Rajan Kumar
Akanksha Raj
Manoj Kumar
Deepak Kumar
Sudip Bhattacharya
Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand
Journal of Family Medicine and Primary Care
ahei
covid-19
finkelstein disease
seidlmayer disease
title Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand
title_full Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand
title_fullStr Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand
title_full_unstemmed Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand
title_short Unraveling acute hemorrhagic edema of infancy in the COVID-19 era: Insights from a tribal area in Jharkhand
title_sort unraveling acute hemorrhagic edema of infancy in the covid 19 era insights from a tribal area in jharkhand
topic ahei
covid-19
finkelstein disease
seidlmayer disease
url https://journals.lww.com/10.4103/jfmpc.jfmpc_114_23
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AT manojkumar unravelingacutehemorrhagicedemaofinfancyinthecovid19erainsightsfromatribalareainjharkhand
AT deepakkumar unravelingacutehemorrhagicedemaofinfancyinthecovid19erainsightsfromatribalareainjharkhand
AT sudipbhattacharya unravelingacutehemorrhagicedemaofinfancyinthecovid19erainsightsfromatribalareainjharkhand