<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282021000100034</article-id>
<article-id pub-id-type="doi">10.29315/gm.v8i1.390</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Púrpura de Henoch-Schönlein Bolhosa: Caso Clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Bullous Henoch-Schönlein Purpura: Case Report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Diana Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maximiano]]></surname>
<given-names><![CDATA[Cristiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[Lídia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Filipa Tavares]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Olga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Augusta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Manuela Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Afonso]]></surname>
<given-names><![CDATA[Ariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<fpage>34</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282021000100034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282021000100034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282021000100034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A púrpura de Henoch-Schönlein (PHS) caracteriza-se por púrpura palpável associada a dor abdominal, artralgia ou atingimento renal. A variante bolhosa é rara em pediatria, geralmente com bom prognóstico.  Caso clínico:  Menino de 3 anos e 8 meses com febre e lesões purpúricas que evoluíram para púrpura palpável e edema tibiotársico bilateral com limitação da marcha. Por persistência de febre, agravamento das lesões cutâneas com aparecimento de vesículas, bolhas purpúricas e ulcerações, edema articular com incapacidade para a marcha e para ortostatismo e dor abdominal, foi reavaliado no serviço de urgência. Analiticamente proteína C reativa 29 mg/L e albumina 3 g/dL, sem outras alterações. Decidido internamento sob amoxicilina/ácido clavulânico e metilprednisolona. Apresentou boa evolução clínica, mantendo lesões cicatriciais e manchas hiperpigmentadas.  Discussão:  A púrpura de Henoch-Schönlein bolhosa é rara em idade pediátrica e um desafio diagnóstico. A corticoterapia pode ser benéfica em alguns casos, sendo necessários mais estudos que corroborem a sua utilização. Na generalidade dos casos tem bom prognóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Henoch-Schönlein purpura is characterized by palpable purpura associated with abdominal pain, arthralgia or kidney lesion. The bullous variant is rare in children and generally has a good prognosis.  Case report: A 3-year and 8-month-old boy with fever and purpuric lesions that evolved to palpable purpura and bilateral tibiotarsal edema with inability to walk, was diagnosed with Henoch-Schönlein purpura and discharged to the attending physician and pediatric consultation. Due to persistent fever, increased cutaneous lesions (appearance of vesicles and violaceous blisters, some ulcerated lesions), joint edema with inability to walk and stand and abdominal pain, he was reevaluated in the emergency room. Blood analysis with C-reactive protein 29 mg/dL and albumin 3 g/dL, no other alterations. He was hospitalized under amoxicillin/clavulanic acid and methylprednisolone. He presented good clinical evolution, maintaining cicatricial skin lesions and hyperpigmented patches.  Discussion: Bullous Henoch-Schönlein purpura is rare in pediatric age and a diagnostic challenge. Corticosteroids may be beneficial in some cases, but more studies are needed to corroborate its use. Most cases have a good prognosis.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
<kwd lng="pt"><![CDATA[Dermatopatias Vesiculobolhosas/diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Dermatopatias Vesiculobolhosas/tratamento]]></kwd>
<kwd lng="pt"><![CDATA[Púrpura Henoch-Schönlein/diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Púrpura Henoch-Schönlein/tratamento]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Purpura, Schoenlein-Henoch/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Purpura, Schoenlein-Henoch/therapy]]></kwd>
<kwd lng="en"><![CDATA[Skin Diseases, Vesiculobullous/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Skin Diseases, Vesiculobullous/therapy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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