Rashes are one of the most common presenting symptoms in the emergency department setting; they may be a primary diagnosis or a symptom of systemic disease. Accurate diagnosis of a rash may be challenging and requires clinical acumen, systematic history and physical examination, and judicious use of diagnostic testing. This case study reviews Henoch–Schönlein purpura (HSP) or IgA vasculitis, a common vasculitis of childhood. Although typically a self-limited disease, HSP may cause serious complications in a small subset of patients and requires monitoring. In addition, there are several differential diagnoses that may mimic HSP that are more serious. This article reviews the case of a 6-year-old boy who presented to a community emergency department and had a nontypical clinical course.
Atlantic Emergency Associates, Atlantic City, New Jersey (Mr Contino); Virtua Atlantic Shore Family Practice, Northfield, New Jersey (Dr Bradbury-Golas); and Graduate Nursing, APRN Program, Felician College, Lodi, New Jersey (Dr Bradbury-Golas).
Corresponding Author: Christopher Contino, MSN, RN, FNP-BC, CEN, CCRN, NREMT-P, Atlantic Emergency Associates, 1925 Pacific Ave, 8th Floor, Atlantic City, NJ 08401 (firstname.lastname@example.org).
Disclosure: The authors report no conflicts of interest.