Acute haemorrhagic oedema of infancy

We present a previously healthy 9-month-old girl which presented to our emergency department with coryzal-like symptoms, a 3-day history of fever and rigours and large purpuric plaques with irregular, annular and targetoid shapes, located on the face, hands and perineum and sparing the trunk, which had appeared in the previous 24 h and were still progressing (figures 1 and 2). There was bilateral oedema of the hands and feet. She had …