SARS-CoV-2-associated Henoch-Schönlein purpura in a 13-year-old girl

Arch Pediatr. 2021 Oct;28(7):573-575. doi: 10.1016/j.arcped.2021.06.004. Epub 2021 Jul 9.

Abstract

In the context of the current coronavirus disease 2019 (COVID-19) pandemic, cutaneous lesions are being described. Here, we report on a 13-year-old girl with SARS-CoV-2-associated Henoch-Schönlein purpura and Epstein-Barr virus (EBV) infection. She presented without any respiratory symptoms, only a purpuric skin rash, abdominal pain, low-grade fever, and pharyngitis. Virology tests by polymerase chain reaction (PCR) were positive for SARS-CoV-2 and EBV. The potential association of Henoch-Schönlein purpura and SARS-CoV-2 should be kept in mind in order to reduce the spread of the virus, particularly in children with few respiratory symptoms.

Keywords: Children; Epstein–Barr virus; Henoch–Schönlein purpura; SARS-CoV-2; Vasculitis.

MeSH terms

  • Abdominal Pain / etiology
  • Adolescent
  • COVID-19 / diagnosis*
  • Epstein-Barr Virus Infections / complications
  • Epstein-Barr Virus Infections / diagnosis*
  • Exanthema / etiology
  • Female
  • Fever / etiology
  • Herpesvirus 4, Human / genetics
  • Herpesvirus 4, Human / isolation & purification*
  • Humans
  • IgA Vasculitis / complications
  • IgA Vasculitis / diagnosis*
  • Pharyngitis / etiology
  • Polymerase Chain Reaction
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / isolation & purification*