title: Anaphylactoid Purpura Manifested after Acute Gastroenteritis with Severe Dehydration in an 8-Year-Old Male Child: A Case Report.
abstract: Anaphylactoid purpura, also known as Henoch-Schönleinpurpura (HSP), is an IgA-mediated vasculitis that tends to be a benign disease of childhood. Up to 50% of cases are preceded by an upper tract respiratory infection caused by group-A beta-hemolytic streptococcus and present with the common tetrad of abdominal pain, arthritis, purpuric rash, and renal involvement. The majority of patients recover completely. Here we document a rare case of anaphylactoid purpura which manifested with skin lesions in the form of palpable purpura following about of acute gastroenteritis with severe dehydration; it was treated with a short regimen of steroid therapy, which resulted in the complete remission of the disease. We conclude that prompt diagnosis and multidisciplinary intervention will lead to appropriate management-consisting of the installation of early short-course steroid therapy and thus, prevent further complications and the recurrence of the disease.
authors.affiliation: G.R. Doshi and K.M. Mehta Institute of Kidney diseases and Research Centre (IKDRC) and Dr. H.L. Trivedi Institute of Transplantation Sciences (ITS), Civil Hospital Campus, Gujarat, India.
authors.forename: Umang G
authors.initials: UG
authors.lastname: Thakkar
authors.affiliation: G.R. Doshi and K.M. Mehta Institute of Kidney diseases and Research Centre (IKDRC) and Dr. H.L. Trivedi Institute of Transplantation Sciences (ITS), Civil Hospital Campus, Gujarat, India.
authors.forename: Aruna V
authors.initials: AV
authors.lastname: Vanikar
authors.affiliation: G.R. Doshi and K.M. Mehta Institute of Kidney diseases and Research Centre (IKDRC) and Dr. H.L. Trivedi Institute of Transplantation Sciences (ITS), Civil Hospital Campus, Gujarat, India.
authors.forename: Hargovind L
authors.initials: HL
authors.lastname: Trivedi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D002648:Child; D003681:Dehydration / Q000150:complications* / Q000209:etiology; D005759:Gastroenteritis / Q000150:complications*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D011695:IgA Vasculitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008297:Male; D012720:Severity of Illness Index
chemical_list: D005938:Glucocorticoids
keywords: Acute gastroenteritis; Henoch–Schönlein purpura; Leukocytoclastic vasculitis