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Esteban R. López, MD; Matthew M. Bender, MD; Adelaide A. Hebert, MD
University of Texas–Houston Medical School

Arch Dermatol. 2003;139:215-220.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A previously healthy 7-year-old Hispanic boy presented with a 3-day history of multiple, slightly pruritic blistering lesions on both legs. He also reported right upper quadrant abdominal pain, subjective fever, and multiple episodes of emesis. He had no significant medical history, and there was no family history of skin lesions.

On physical examination, the patient's vital signs, including blood pressure levels, were normal. His skin showed multiple, grouped purpuric papules and plaques with central, hemorrhagic vesicles (Figure 1). A Nikol sky sign was negative. The rash was distributed on the upper extremities, lower extremities, and buttocks (Figure 2). Other pertinent physical findings included right upper quadrant abdominal tenderness and swollen, nontender ankles.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Laboratory tests results included a white blood cell count of 13 300/µL (reference range, 4500-13 500/µL) and a platelet count . . . [Full Text of this Article]

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Arch Dermatol. 2003;139(2):215-220.
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