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Images in paediatrics
Case report: bullous Henoch–Schönlein purpura
  1. Jane Emily Hooper1,
  2. Choy Lee1,
  3. Dan Hindley1,2
  1. 1Department of Paediatrics, Royal Bolton Hospital, Manchester, UK
  2. 2Halliwell Children's Centre, Manchester, UK
  1. Correspondence to Dr Jane Emily Hooper, Community Paediatrics, Royal Bolton Hospital, Bolton, Manchester BL4 0JR, UK; janehooper{at}

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A 9-year-old boy presented with a 1-day history of a palpable purpuric rash on his lower limbs 3 days after a viral illness. One week later, he developed arthralgia in his lower limbs, facial oedema and progression of the rash to his buttocks and lower arms. He did not present with any abdominal pain, blood pressure was 131/79 mm Hg and urinary protein:creatinine ratio was 183 mg/mmol with normal blood tests. …

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  • Acknowledgements Dr Stephen Hughes provided assistance in interpreting immunological investigations.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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