eMedicine Specialties > Dermatology > Pediatric Diseases

Acute Hemorrhagic Edema of Infancy: Follow-up

Author: Mark A Crowe, MD, Assistant Clinical Instructor, Department of Medicine, Division of Dermatology, University of Washington School of Medicine
Contributor Information and Disclosures

Updated: Sep 25, 2009

Follow-up

Further Inpatient Care

  • Inpatient care is not usually required unless the diagnosis of acute hemorrhagic edema of infancy (AHEI) is in doubt. If meningococcemia or another significant condition remains in the differential diagnosis, patients may require monitoring or therapy as appropriate for those disorders.

Further Outpatient Care

  • Treatment for acute hemorrhagic edema of infancy (AHEI) is symptomatic; patients usually are nontoxic in appearance.
  • Monitor patients for abdominal or renal involvement, which, although rare, has been reported.

Deterrence/Prevention

  • No known method exists for preventing acute hemorrhagic edema of infancy (AHEI) or recurrences of the condition.

Complications

  • Arthritis, nephritis, abdominal pain, gastrointestinal tract bleeding, and lethal intestinal complications rarely are reported as complications for acute hemorrhagic edema of infancy (AHEI).

Prognosis

  • Acute hemorrhagic edema of infancy (AHEI) is a self-limited disease of short duration, usually lasting less than 3 weeks.
  • Long-term sequelae are unlikely.
  • Recurrences are uncommon.

Patient Education

  • Educate parents about the benign self-limited nature of acute hemorrhagic edema of infancy (AHEI) and the fact that recurrences can occur.

Miscellaneous

Medicolegal Pitfalls

  • Failure to diagnose child abuse or meningococcemia correctly
 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous Chief Editor, William D. James, MD, to the development and writing of this article.



More on Acute Hemorrhagic Edema of Infancy

Overview: Acute Hemorrhagic Edema of Infancy
Differential Diagnoses & Workup: Acute Hemorrhagic Edema of Infancy
Treatment & Medication: Acute Hemorrhagic Edema of Infancy
Follow-up: Acute Hemorrhagic Edema of Infancy
Multimedia: Acute Hemorrhagic Edema of Infancy
References
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Further Reading

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Keywords

acute hemorrhagic edema of infancy, AHEI, acute infantile hemorrhagic oedema, Finkelstein's disease, Seidlmayer syndrome, , cockade purpura with edema, postinfectious cockade purpura of early childhood, acute benign cutaneous leukocytoclastic vasculitis of infancy

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Contributor Information and Disclosures

Author

Mark A Crowe, MD, Assistant Clinical Instructor, Department of Medicine, Division of Dermatology, University of Washington School of Medicine
Mark A Crowe, MD is a member of the following medical societies: American Academy of Dermatology and North American Clinical Dermatologic Society
Disclosure: Nothing to disclose.

Medical Editor

Daniel J Hogan, MD, Clinical Professor of Internal Medicine (Dermatology), NOVA Southeastern University; Investigator, Hill Top Research, Florida Research Center
Daniel J Hogan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Contact Dermatitis Society, and Canadian Dermatology Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Richard P Vinson, MD, Assistant Clinical Professor, Department of Dermatology, Texas Tech University School of Medicine; Consulting Staff, Mountain View Dermatology, PA
Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Association of Military Dermatologists, Texas Dermatological Society, and Texas Medical Association
Disclosure: Nothing to disclose.

Managing Editor

Jeffrey J Miller, MD, Associate Professor of Dermatology, Penn State University College of Medicine; Staff Dermatologist, Penn State Milton S Hershey Medical Center
Jeffrey J Miller, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, Association of Professors of Dermatology, North American Hair Research Society, and Society for Investigative Dermatology
Disclosure: Nothing to disclose.

CME Editor

Joel M Gelfand, MD, MSCE, Medical Director, Clinical Studies Unit, Assistant Professor, Department of Dermatology, Associate Scholar, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania
Joel M Gelfand, MD, MSCE is a member of the following medical societies: Society for Investigative Dermatology
Disclosure: AMGEN Consulting fee Consulting; AMGEN Grant/research funds None; Genentech Consulting fee Consulting; Centocor Consulting fee Consulting; Centocor Grant/research funds None; Covance Consulting fee Consulting; Shire  Consulting

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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