Henoch-Schönlein purpura: a diagnosis not to be forgotten.
Henoch-Schönlein purpura (HSP) is a systemic, generalized vasculitis of unknown etiology thought to be related to an IgA-mediated autoimmune phenomenon. Diagnosis is based on a constellation of physical findings that include the characteristic nonthrombocytopenic petechial or purpuric rash, migratory polyarthralgias, abdominal pain, and renal complications. We report the case of a 19-year-old man with a diagnosis of HSP who had severe abdominal pain and endoscopic documentation of duodenal involvement. Though not clear at presentation, the diagnosis became obvious when the characteristic rash emerged.
Trujillo
H
H
Division of Pediatric Gastroenterology, Lutheran General Children's Hospital, Park Ridge, IL 60068, USA.
Gunasekaran
T S
TS
Eisenberg
G M
GM
Pojman
D
D
Kallen
R
R
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D011695:IgA Vasculitis / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D013256:Steroids / Q000627:therapeutic use
D013256:Steroids