Asiri Ashwag, Alzahrani Faris, Alshehri Salem, Hassan AbdelQadir Yossef
Child Health Department, King Khalid University, Abha City, Saudi Arabia.
Joint Program of Postgraduate Studies in Public Health and Preventive Medicine, Department of Public Health, Ministry of Health, Abha, Saudi Arabia.
Case Rep Pediatr. 2022 Mar 29;2022:1712651. doi: 10.1155/2022/1712651. eCollection 2022.
Extrapulmonary manifestations of COVID-19 infection include a wide spectrum of cutaneous, endocrine, and cardiovascular complications. We report three cases of new-onset Henoch-Schonlein purpura (HSP) in COVID-19 infected children that were diagnosed and treated in Abha Maternity and Children Hospital, Saudi Arabia, between 28 July 2020 and 10 August 2020. All three cases were males younger than 5 years of age that presented with Henoch-Schonlein purpura characteristic rash and arthralgia without a recent history of any infection, especially respiratory infections. They all tested positive for COVID-19. At the time of the admission, pediatric COVID-19 cases were managed conservatively and we ruled out any other diagnosis before establishing the diagnosis of Henoch-Schonlein purpura according to the clinical picture. The three boys responded significantly to prednisolone and achieved a rapid recovery. We present the clinical scenario and laboratory tests of these children along with pictures of the lesions detected in each case.
新型冠状病毒肺炎（COVID-19）感染的肺外表现包括一系列皮肤、内分泌和心血管并发症。我们报告了2020年7月28日至2020年8月10日期间在沙特阿拉伯阿卜哈妇产儿童医院确诊并接受治疗的3例COVID-19感染儿童新发的过敏性紫癜（HSP）病例。所有3例均为5岁以下男性，表现为过敏性紫癜特征性皮疹和关节痛，近期无任何感染史，尤其是呼吸道感染史。他们的COVID-19检测均呈阳性。入院时，儿科COVID-19病例采用保守治疗，在根据临床表现确诊过敏性紫癜之前，我们排除了任何其他诊断。这3名男孩对泼尼松龙反应显著，迅速康复。我们展示了这些儿童的临床情况和实验室检查结果，以及每个病例中检测到的病变图片。
