• | AKA Finklestein’s disease |
• | four months to three years old |
• | benign, self-limited form of LCV (histology: LCV) |
• | kid otherwise looks well; i.e. no systemic features |
• | presents with fever and tender edema affecting the face and extremities, but usually not the torso |
• | larger, erythematous to purpuric plaques (medallion-like); acral |
• | lesions have scalloped, rosette shaped borders |
• | resolves spontaneously in 1-3 weeks |
• | triggers: infection, drug, vaccine |
• | ddx: HSP, Sweet’s, EM, urticarial vasculitis, Kawasaki’s disease, purpura fulminans |
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