A Rare Presentation of Bullous Henoch-Schoenlein Purpura Complicated by Shock: A Case Report

Henoch-Schoenlein purpura (HSP) is an immunoglobulin A mediated vasculitis and mainly affects skin, joints, gastrointestinal tract, and kidneys. Typically, skin lesions present as erythematous maculopapular, petechiae, and purpuric rash and atypically as a bullous lesion. A 6-year-old female presented with bullous lesions over her hands and legs, oligoarthritis, abdominal pain complicated with hypotensive shock. The patient was managed with fluid resuscitation, corticosteroids, and antibiotics which offered significant improvement. Bullous IgA vasculitis complicated by non-hemorrhagic hypovolemic shock is rare and may pose diagnostic challenges. Early recognition and timely management are essential to prevent morbidity.