{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:03:26Z","timestamp":1780470206663,"version":"3.54.1"},"reference-count":14,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,11]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Henoch-Schonlein purpura (HSP) is a common IgA-mediated small vessel vasculitis of childhood that affects several systems. It is characterised by a tetrad of dermatological, abdominal, joint and renal manifestations. HSP can occur secondary to upper respiratory tract infections, medications, vaccinations and malignancies. COVID-19 is caused by SARS-CoV-2, a single-stranded RNA virus from the Beta-Coronaviridae family, and often presents as a respiratory infection with symptoms ranging from a mild common cold-like illness to severe pneumonia. It has also been reported to exhibit extrapulmonary manifestations, including but not limited to cardiac, thrombotic, hepatocellular and dermatological complications. We report a case of a 4-year-old boy who presented with clinical features of HSP, with detailed history that revealed a recent recovery from a COVID-19 upper respiratory tract infection, indicating a possible correlation between the two.<\/jats:p>","DOI":"10.1136\/bcr-2020-239910","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T13:03:41Z","timestamp":1609938221000},"page":"e239910","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":52,"title":["A child with Henoch-Schonlein purpura secondary to a COVID-19 infection"],"prefix":"10.1136","volume":"14","author":[{"given":"Dalal Anwar","family":"AlGhoozi","sequence":"first","affiliation":[{"name":"Pediatrics, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haya Mohammed","family":"AlKhayyat","sequence":"additional","affiliation":[{"name":"Pediatrics, Bahrain Defence Force Royal Medical Services, Riffa, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"2025082722114512000_14.1.e239910.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2010\/597648","article-title":"Henoch-Schonlein purpura-a case report and review of the literature","volume":"2010","author":"Sohagia","year":"2010","journal-title":"Gastroenterol Res Pract"},{"key":"2025082722114512000_14.1.e239910.2","first-page":"321","article-title":"Could it be Henoch-Schonlein purpura?","volume":"38","author":"Lim","year":"2009","journal-title":"Aust Fam Physician"},{"key":"2025082722114512000_14.1.e239910.3","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2733"},{"key":"2025082722114512000_14.1.e239910.4","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000020207","article-title":"Novel coronavirus 2019 (COVID-19)","volume":"99","author":"Douedi","year":"2020","journal-title":"Medicine"},{"key":"2025082722114512000_14.1.e239910.5","unstructured":"Beeching N , Fletcher T , Fowler R . Coronavirus disease 2019 (COVID-19) - Symptoms, diagnosis and treatment | BMJ Best Practice US [Internet], 2020. Available: https:\/\/bestpractice.bmj.com\/topics\/en-us\/3000168"},{"key":"2025082722114512000_14.1.e239910.6","unstructured":"Feldman S , Freeman E . Coronavirus disease 2019 (COVID-19): Cutaneous manifestations and issues related to dermatologic care [Internet]. Uptodate.com, 2020. Available: https:\/\/www.uptodate.com\/contents\/coronavirus-disease-2019-covid-19-cutaneous-manifestations-and-issues-related-to-dermatologic-care\/print"},{"key":"2025082722114512000_14.1.e239910.7","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0968-3"},{"key":"2025082722114512000_14.1.e239910.8","unstructured":"Levy D . Childhood-onset systemic lupus erythematosus (SLE): Clinical manifestations and diagnosis [Internet]. Uptodate.com, 2020. Available: https:\/\/www.uptodate.com\/contents\/childhood-onset-systemic-lupus-erythematosus-sle-clinical-manifestations-and-diagnosis#H75107738"},{"key":"2025082722114512000_14.1.e239910.9","unstructured":"Kimura Y . Systemic juvenile idiopathic arthritis: Clinical manifestations and diagnosis [Internet]. Uptodate.com, 2020. Available: https:\/\/www.uptodate.com\/contents\/systemic-juvenile-idiopathic-arthritis-clinical-manifestations-and-diagnosis#H8"},{"key":"2025082722114512000_14.1.e239910.10","unstructured":"Sundel R . Kawasaki disease: Clinical features and diagnosis [Internet]. Uptodate.com, 2020. Available: https:\/\/www.uptodate.com\/contents\/kawasaki-disease-clinical-features-and-diagnosis#H3449497313"},{"key":"2025082722114512000_14.1.e239910.11","unstructured":"Uptodate.com . CDC and WHO case definitions of multisystem inflammatory syndrome in children [Internet], 2020. Available: https:\/\/www.uptodate.com\/contents\/image?imageKey=PEDS%2F128201&topicKey=ID%2F127454&source=see_link"},{"key":"2025082722114512000_14.1.e239910.12","doi-asserted-by":"crossref","first-page":"2074","DOI":"10.1016\/j.ekir.2020.08.016","article-title":"IgA vasculitis with nephritis (Henoch-Sch\u00f6nlein purpura) in a COVID-19 patient","volume":"5","author":"Suso","year":"2020","journal-title":"Kidney Int Rep"},{"key":"2025082722114512000_14.1.e239910.13","doi-asserted-by":"crossref","unstructured":"et al AbdelMassih A , AbdelAzeam A , Ayad A . Unleashing the mysterious link between COVID-19 and a famous childhood vasculitis: Kawasaki disease. Egyptian Pediatric Association Gazette [Internet], 2020. Available: https:\/\/www.researchgate.net\/publication\/342918969_Unleashing_the_mysterious_link_between_COVID-19_and_a_famous_childhood_vasculitis_Kawasaki_disease","DOI":"10.1186\/s43054-020-00029-9"},{"key":"2025082722114512000_14.1.e239910.14","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/7432859"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239910","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:11:57Z","timestamp":1756357917000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239910"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,6]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-239910"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239910","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}