title: Acute testicular pain: Henoch-Schönlein purpura versus testicular torsion.
abstract: A skilled examiner may not be able to exclude testicular torsion by physical examination maneuvers in a patient who presents with acute scrotal pain. Diagnostic adjunctive studies may be of assistance. However, if a diagnosis cannot be established with certainty, surgical exploration is warranted. Patients with Henoch-Schönlein purpura who present with a vascular eruption on the scrotum, lack a rash elsewhere, and have no arthritis or hematuria are likely to be explored.
authors.affiliation: Department of Paediatrics, University of Western Ontario, Canada.
authors.forename: J I
authors.initials: JI
authors.lastname: Singer
authors.forename: N
authors.initials: N
authors.lastname: Kissoon
authors.forename: J
authors.initials: J
authors.lastname: Gloor
mesh_terms: D000208:Acute Disease; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications / Q000175:diagnosis*; D008297:Male; D010146:Pain / Q000209:etiology*; D013086:Spermatic Cord Torsion / Q000150:complications / Q000175:diagnosis*; D013737:Testis