title: Acute penile pain and swelling in a 4-year-old child with Henoch-Schönlein purpura.
abstract: Henoch-Schönlein purpura (HSP) is the most common vasculitis found in children. It usually affects the small vessels of the skin, joints, gastrointestinal tract and, more rarely, kidneys, brain, lungs and genitalia. Apart from classical presentation with purpuric rashes around buttocks and lower extremities, features such as arthralgia, abdominal pain, haematuria and proteinuria as well as scrotal swelling have been described in the literature. Penile involvement is rare and is not commonly described. We describe a child with HSP who developed penile involvement. We review the literature of all the cases reported in detail, in order to highlight useful clinical presentation, management and prognosis of this rare manifestation.
authors: Department of Paediatrics, University Hospitals of North Midlands, Stoke On Trent, UK.
authors: Kishor Kumar
authors: KK
authors: Tewary
authors: Department of Urology, University Hospital of North Midlands, Stoke On Trent, UK.
authors: Bernadette
authors: B
authors: Khodaghalian
authors: Faculty of Medicine, United Arab Emirates University, Al-Ain, UAE.
authors: Hassib
authors: H
authors: Narchi
mesh_terms: D059787:Acute Pain / Q000188:drug therapy / Q000473:pathology*; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004487:Edema / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D011695:IgA Vasculitis / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D010409:Penile Diseases / Q000473:pathology*; D011239:Prednisolone / Q000627:therapeutic use; D012611:Scrotum / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D019980:Amoxicillin-Potassium Clavulanate Combination; D011239:Prednisolone