title: Atypical course of Henoch-Schonlein purpura in an adult patient.
abstract: Henoch-Schonlein purpura is vasculitis of small blood vessels characterized by deposits of IgA immune complexes and also non-thrombocytopenic purpura, abdominal pain, arthritis and renal involvement. It affects people of all ages, but most cases occur in children between 2 and 11 years old, more frequently in boys. The disease is much less common in adults, who often have a more severe course of the disease. The paper presents the case of a 38-year-old female patient with insidious course of the disease, initially dominant skin symptoms and joint pain without signs of inflammation. Symptoms of the disease were initially uncharacteristic and mild, and did not suggest severe and rapid course of the disease. The patient required hospitalization in several departments before final diagnosis of Henoch-Schonlein purpura. The patient was treated with corticosteroids and immunosuppression. Despite the rapid course of the disease, treatment was effective. The patient was discharged in good condition.
authors.affiliation: Department of Rheumatology, Voivodeship Hospital, Elbląg, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Bielewicz-Zielińska
authors.affiliation: Clinical-Research Center, Elblag, Poland.
authors.forename: Bożena
authors.initials: B
authors.lastname: Górnikiewicz-Brzezicka
authors.affiliation: Clinical-Research Center, Elblag, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Brzezicki
authors.affiliation: NZOZ Nasz Lekarz, Clinical Trials Office, Toruń, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Rymko
authors.affiliation: University Hospital Nr 2 Dr. Jan Biziel, Bydgoszcz, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Jeka
keywords: arthritis; immunosuppression; purpura