case_images: PMC7509540_01
case_images: A series of photographs of the child demonstrating severe, disfiguring scalp and facial oedema and its gradual resolution.
case_images: CRIPE2020-8823611.001.jpg
case_images: PMC7509540_01_CRIPE2020-8823611.001.jpg
case_images: fig1
case_images: On examination, the child had severe and disfiguring nonpitting oedema of the scalp and face which was tender on palpation (Figure 1(a)). Following treatment, the scalp and facial oedema rapidly improved (Figures 1(b)-1(d)); however, his blood pressure remained high (between 95th-99th centiles).
case_images: A photograph demonstrating classical nonblanching and a palpable purpuric rash over extensor surface of legs.
case_images: CRIPE2020-8823611.002.jpg
case_images: PMC7509540_01_CRIPE2020-8823611.002.jpg
case_images: fig2
case_images: He had a palpable purpuric rash over the extensor surfaces of both lower limbs (Figure 2) and arthritis of the bilateral knee and ankle joints with restricted movements.
case_images: Noncontrast CT scan showing the soft tissue swelling of the scalp (arrows).
case_images: CRIPE2020-8823611.003.jpg
case_images: PMC7509540_01_CRIPE2020-8823611.003.jpg
case_images: fig3
case_images: Noncontrast CT scan of the head showed normal brain with no evidence of cerebral oedema with a marked soft tissue swelling of the scalp (Figure 3).