Skip to main content
Log in

Scrotal involvement in an adult with Henoch–Schönlein purpura

  • Case Report
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Soreide K, Ansorge C, Ogreid P (2004) Scrotal pain and Henoch–Schonlein purpura. Tidsskr Nor Laegeforen 124(3):335–336

    PubMed  Google Scholar 

  2. Romero Perez P, Amat Cecilia M, Rafie Mazkletti W, Merenciano Cortina FJ (1997) Acute scrotal hematoma in Schoenlein–Henoch purpura. Infrequent urologic manifestation. Actas Urol Esp 21(5):489–493

    PubMed  CAS  Google Scholar 

  3. Gardner-Medwin JM, Dolezalova P, Cummins C et al (2002) Incidence of Henoch–Schönlein purpura, Kawasaki disease, and rare vasculitides in children of different ethnic origins. Lancet 360:1197–1202

    Article  PubMed  Google Scholar 

  4. Watts RA, Scott D (2004) Epidemiology of the vasculitides. Semin Resp Crit Care 25:455–464

    Article  Google Scholar 

  5. Gedalia A (2004) Henoch–Schönlein purpura. Curr Rheumatol Rep 6:195–202

    Article  PubMed  Google Scholar 

  6. Allen DM, Diamond LK, Howell DA (1960) Anaphylactoid purpura in children (Schonlein–Henoch syndrome): review with a follow-up of renal complications. Am J Dis Child 99:833–584

    CAS  Google Scholar 

  7. Chamberlain RS, Greenberg LW (1992) Scrotal involvement in Henoch–Schönlein purpura: a case report and review of the literature. Pediatr Emerg Care 8:213–215

    Article  PubMed  CAS  Google Scholar 

  8. Mills J, Michel B, Bloch A, for the American College of Rheumatology, Subcommittee on Classification of Vasculitis (1990) The American College of Rheumatology 1990 criteria for the classification of Henoch–Schönlein purpura. Arthritis Rheum 33:1114–1121

    Article  PubMed  CAS  Google Scholar 

  9. Helander S, De Castro F, Gibson L (1995) Henoch–Schönlein purpura: clinicopathologic correlation of cutaneous vascular IgA deposits and the relationship to leukocytoclastic vasculitis. Acta Derm Venereol Suppl (Stockh) 75:125–129

    CAS  Google Scholar 

  10. Dedeoglu F, Kim S, Sundel R (2008) Clinical manifestations and diagnosis of Henoch–Schönlein purpura. UpToDate, version 16.1

  11. Ben-chaim J, Korat E, Shenfeld O et al (1995) Acute scrotum caused by Henoch–Schönlein purpura with immediate response to short-term steroid therapy. J Pediatr Surg 30:1509–1510

    Article  PubMed  CAS  Google Scholar 

  12. Ha TS, Lee JS (2007) Scrotal involvement in childhood Henoch–Schönlein purpura. Acta Paediatr 96(4):552–555

    Article  PubMed  Google Scholar 

  13. Lee JS, Choi SK (1998) Acute scrotum in 7 cases of Schoenlein–Henoch syndrome. Yonsei Med J 39:73–78

    PubMed  CAS  Google Scholar 

  14. Laor T, Atala A, Teele RL (1992) Scrotal ultrasonography in Henoch–Schönlein purpura. Pediatr Radiol 22:505–506

    Article  PubMed  CAS  Google Scholar 

  15. Ben-Sira L, Laor T (2000) Severe scrotal pain in boys with Henoch–Schönlein purpura: incidence and sonography. Pediatr Radiol 30:125–128

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We acknowledge Jeanette Buckingham, librarian, for her assistance with retrieving articles and Jaled Yehya, for his assistance with article translation.

Disclosures

None

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lemmese Al-Watban.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aaron, S., Al-Watban, L. & Manca, D. Scrotal involvement in an adult with Henoch–Schönlein purpura. Clin Rheumatol 32 (Suppl 1), 93–95 (2013). https://doi.org/10.1007/s10067-010-1555-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10067-010-1555-7

Keywords

Navigation