Monday, November 17, 2008

Hard to Pronounce

A five year old child presents with the finding shown above as well as several days complaint of colicky abdominal as well as hip and knee pain. You notice edema in the lower extremities, periarticular swelling and tenderness of the joints without effusion, erythema, or warmth. The stool is guaiac positive; there is also isolated microscopic hematuria.

Challenge: What's the diagnosis?

Image is in the public domain.

3 comments:

Alex said...

food for though - what's harder to pronounce: berger's disease or henoch shonlein purpura

Stephanie said...

henoch schlonlein purpura

Craig Chen said...

yes! definitely the hardest to spell too.
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Hard to Pronounce

This is Henoch-Schonlein purpura, the most common systemic vasculitis in children with the tetrad of palpable purpura without thrombocytopenia or coagulopathy, arthritis or arthralgias, abdominal pain, and renal disease. It is due to immune-mediated IgA deposition. The rash is typically symmetric on the lower extremities or buttocks.

Sources: UpToDate; Wikipedia.