Hemorrhagic bullae in pediatric Henoch–Schönlein purpura: A rare presentation

Henoch–Schönlein purpura (HSP), a common vasculitis in children, typically presents with palpable purpura. We report the case of a 9-year-old girl with HSP exhibiting hemorrhagic bullous lesions, a rare manifestation in pediatric patients. The diagnostic evaluation confirmed the diagnosis, revealing small vessel leukocytoclastic vasculitis with linear immunoglobulin A deposition. Treatment with oral prednisolone led to symptom improvement, highlighting the importance of early intervention in managing atypical presentations of HSP.