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.
Division of Pediatric Gastroenterology, Lutheran General Children's Hospital, Park Ridge, IL 60068, USA.
H
H
Trujillo
T S
TS
Gunasekaran
G M
GM
Eisenberg
D
D
Pojman
R
R
Kallen
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D011695:IgA Vasculitis / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D013256:Steroids / Q000627:therapeutic use
D013256:Steroids