title: Acute scrotal swelling in Henoch-Schönlein purpura: a case report.
abstract: Henoch-Schönlein purpura is a systemic vasculitis and sometimes presents as acute scrotal swelling in children. We report a case of Henoch-Schönlein purpura with acute scrotal swelling, which was correctly diagnosed based upon local physical findings. Scrotal ultrasonography showed normal testes and hydrocele testis around the affected testis 3 hours after the sudden onset of the pain. The scrotal symptoms improved in 2 days with steroid therapy. Scrotal ultrasonography was useful to diagnose Henoch-Schönlein purpura with scrotal involvement. Steroid treatment appeared to be effective for this condition.
authors.affiliation: Department of Urology, Yokohama Minami Kyosai Hospital.
authors.forename: N
authors.initials: N
authors.lastname: Sakai
authors.forename: K
authors.initials: K
authors.lastname: Kawamoto
authors.forename: H
authors.initials: H
authors.lastname: Fukuoka
authors.forename: S
authors.initials: S
authors.lastname: Nakajima
authors.forename: H
authors.initials: H
authors.lastname: Kurozumi
mesh_terms: D000208:Acute Disease; D002648:Child; D005832:Genital Diseases, Male / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000031:analogs & derivatives*; D011695:IgA Vasculitis / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D012611:Scrotum / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: C007133:hydrocortisone hemisuccinate; D006854:Hydrocortisone