LUPUS UK

Advice on non blanching rash with isolated prolonged APTT ^61

I am looking to find out some info if anyone can help. My god daughter who is a toddler was not too well yesterday and A&E first said could be hand, foot and mouth then HSP (henoch-schonlein purpura). After quite a long time they said my friends could go home and they didn't know what had caused the rash but they would be called back to see a haematologist this week as a problem with clotting had shown up in the blood tests. The discharge notes said non blanching rash, isolated prolonged APTT ^61. I think this means it took 61 seconds for the blood to form a clot and think normal time is 30-50 seconds. This is second time in a 12 month period she has been to A&E with a non blanching rash that couldn't be diagnosed. If anyone has any experience I would appreciate any info.

Many thanks in advance.

3 Replies
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Are these little red dots, like if she has been stuck with a little pin, and are they still visable when a glass is placed over them..can you give us a little bit more information on the look of the rash. Hugs and hope the little one is doing better x

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Could be vasculitis, she needs to see a dermatologist for proper assessment and testing, one that has experience in vasculitis on top of the general dermatology, if only to rule it out, if nothing else.

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Thank you for your replies. On Sunday it started like pin prick red dots and was still visible when a glass was pressed on it. It then changed to look like blisters. Yesterday a rash came up my friend has sent me photos of the rash from yesterday and it looks like hives. She took her to A&E and they said it was allergic reaction which when I saw the photos I agree but it just all seems a bit odd that she had a rash Sunday, they didn't know what it was, they picked up issue with clotting in her blood and then yesterday she has a reaction but she hasn't come into contact with anything different. Hope they can get to the bottom of it.

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