A 9-year-old girl is brought by her mother because of the acute onset of a facial rash. There is no associated itching, and the child is, and has been, otherwise healthy.
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?