Atypical purpura location in a Sudanese infant with Henoch-Schönlein purpura

Henoch-Schönlein purpura (HSP) is a self-limited systemic vasculitis seen most commonly in paediatric group with multi organ involvements. We report a case of an infantile female who presented with cough, diarrhoea and vomiting. Two days later, she suddenly developed an erythematous, non-pruritic rash involving feet, thighs, buttocks and face; the lesion spared the trunk. Joints pain and swellings were also noticed. Coronavirus disease-19 Polymerase chain reaction (PCR) test was negative. She was diagnosed with HSP based on the American College of Rheumatology and European League Against Rheumatism, and Paediatric Rheumatology European Society criteria. The rash faded spontaneously within 2 weeks. We conclude that the careful skin examination is crucial for diagnosis of HSP.