A 4-year-old, previously healthy girl presented to a tertiary care children’s hospital emergency department (ED) with large, tense bullae involving up to 40% of her body surface area. The patient’s parents described a 12-day history of itchy, papulovesicular lesions that had progressed into large blisters.
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?