title: Scrotal involvement in an adult with Henoch-Schönlein purpura.
abstract: Henoch-Schönlein purpura is a systemic vasculitis of unknown etiology usually affecting the pediatric age group and characterized by the clinical triad of non-thrombocytopenic palpable purpura, abdominal pain, and arthritis. There also may be varying degrees of renal involvement. The findings of scrotal involvement are not as well recognized. We describe a case of acute scrotal swelling as part of a 37-year-old male's presentation of Henoch-Schönlein purpura, a presentation that has not been reported in this age group.
authors.affiliation: Division of Rheumatology, Department of Internal Medicine, University of Alberta Hospital, 562 Heritage Medical Research Center, Edmonton, Alberta, Canada T6G 2S2.
authors.forename: Stephen
authors.initials: S
authors.lastname: Aaron
authors.forename: Lemmese
authors.initials: L
authors.lastname: Al-Watban
authors.forename: Donna
authors.initials: D
authors.lastname: Manca
mesh_terms: D000284:Administration, Oral; D000328:Adult; D004487:Edema / Q000150:complications / Q000175:diagnosis*; D005832:Genital Diseases, Male / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D012611:Scrotum / Q000473:pathology*; D016896:Treatment Outcome
chemical_list: D011241:Prednisone
references.citation: Tidsskr Nor Laegeforen. 2004 Feb 5;124(3):335-6
references.pmid: 14963505
references.citation: Lancet. 2002 Oct 19;360(9341):1197-202
references.pmid: 12401245
references.citation: AMA J Dis Child. 1960 Jun;99:833-54
references.pmid: 13792721
references.citation: Yonsei Med J. 1998 Feb;39(1):73-8
references.pmid: 9529989
references.citation: J Pediatr Surg. 1995 Oct;30(10):1509-10
references.pmid: 8786506
references.citation: Arthritis Rheum. 1990 Aug;33(8):1114-21
references.pmid: 2202310
references.citation: Acta Paediatr. 2007 Apr;96(4):552-5
references.pmid: 17306010
references.citation: Pediatr Radiol. 1992;22(7):505-6
references.pmid: 1491907
references.citation: Curr Rheumatol Rep. 2004 Jun;6(3):195-202
references.pmid: 15134598
references.citation: Acta Derm Venereol. 1995 Mar;75(2):125-9
references.pmid: 7604640
references.citation: Actas Urol Esp. 1997 May;21(5):489-93
references.pmid: 9412177
references.citation: Pediatr Radiol. 2000 Feb;30(2):125-8
references.pmid: 10663526
references.citation: Pediatr Emerg Care. 1992 Aug;8(4):213-5
references.pmid: 1513732
references.citation: Semin Respir Crit Care Med. 2004 Oct;25(5):455-64
references.pmid: 16088491