A 5-year-old boy was brought to the emergency department by his parents because of a rash that covered his entire body. The rash had started 2 days earlier, initially on the boy’s face, abdomen, and legs and had spread to his back, buttocks, and hands. There was a 1-day history of tactile fever when the child was sent home from school. He had no sick contacts and his immunizations were up-to-date. He had no significant medical history.
The mother of an 11-month-old boy was concerned by a constellation of symptoms including mild fever and rhinorrhea of several day’s duration, lesions that resembled insect bites on one leg and acute swelling of one foot. Early-stage Henoch-Schnlein purpura was suspected. What is your impression?