“Purpurona”; a novel report of COVID-19 related Henoch-Schonlein Purpura in a child

The COVID-19 global pandemic is reshaping our understanding of medicine, including the diagnostic approach to common medical presentations. We describe a novel case of a 3-year-old male presenting with a purpuric rash and abdominal pain, consistent with a clinical diagnosis of Henoch Schonlein Purpura (HSP) vasculitis. Nasopharyngeal swab taken at the time of presentation was positive for SARS-CoV-2 infection. The patient was treated with systemic corticosteroid therapy with clinical improvement thereafter. This case highlights a potentially newly described presentation of COVID-19 infection. Given that HSP is not uncommon in the pediatric population, its presentation during the COVID-19 pandemic should include a COVID-19 infection in the differential diagnosis, and necessary personal protective measures need to be implemented so to prevent viral transmission.