By Disease Name > Acute Hemorrhagic Edema of Infancy

Acute Hemorrhagic Edema of Infancy

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•AKA Finklestein’s disease
•four months to three years old
•benign, self-limited form of LCV (histology: LCV)

 

 

•kid otherwise looks well;  i.e. no systemic features
•presents with fever and tender edema affecting the face and extremities, but usually not the torso
•larger, erythematous to purpuric plaques (medallion-like); acral
•lesions have scalloped, rosette shaped borders
•resolves spontaneously in 1-3 weeks
•triggers:  infection, drug, vaccine
•ddx:  HSP, Sweet’s, EM, urticarial vasculitis, Kawasaki’s disease, purpura fulminans