Henoch Schonlein Purpura, Vasculitis - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Henoch Schonlein purpura vasculitis

Body Site

elbow arm

Age

14 years

Pigmentation

light

Organization

Color

Morphology

papulosquamous (bump, scale)

Pattern

Comments

A healthy adolescent developed severe abdominal pain without fever or rash. After a laparoscopic appendectomy that showed no evidence of appendicitis, he developed migratory periarticular swelling of the legs and a palpable purpuric rash on the extensor surfaces of the arms, legs, back, buttocks, and ankles. Skin biopsy of a papule on the foot showed a leukocytoclastic vasculitis and IgA deposition in dermal blood vessels. The clinical course and histologic findings are diagnostic of Henoch-Schonlein purpura.

Description

symmetric purpuric papules

Image Added

5/14/2001 22:31:37

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Other Resources

PubMed Medline Plus Medscape

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