# Valsalva purpura on the face of a 7-year-old child

## TL;DR

A 7-year-old child developed facial purpura after performing a Valsalva maneuver during swimming.

## Contribution

This case adds to the limited understanding of Valsalva purpura in children, particularly on the cheeks.

## Key findings

- Valsalva purpura occurred on the cheeks of a 7-year-old child after underwater breath-holding.
- The condition is linked to the Valsalva maneuver performed during swimming exercises.

## Abstract

Valsalva purpura refers to purpura resulting from performing the Valsalva maneuver, a forced expiratory effort against a closed glottis. There are limited reported cases of Valsalva purpura in children, specifically on the cheeks. We present the case of a 7-year-old child who developed Valsalva purpura on his cheeks after performing the Valsalva maneuver during deep breathing exercises by holding his breath underwater during his swimming sessions. This article overviews the relationship between the Valsalva maneuver, purpura, and similar cases.