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Case Report

Online Publishing Date:
09 / 01 / 2023

 


Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura

Hana Brozikova, Libuse Barochova, Josef Sykora, Jan Schwarz, Vaclav Lad, Dominika Cvalinova, Marek Greda, Stepan Kutilek.


Abstract
Henoch-Schönlein purpura (HSP) is the most common vasculitis in childhood and is clinically characterised by purpura, abdominal pain, arthritis and renal involvement. Scarcely, some patients with HSP may not always show visible rash and can present with insidious abdominal symptoms. We present two patients: an 8-year-old boy who was initially considered as having infectious diarrhoea and mesenteric lymphadenitis, then intussusception, appendicitis, appendicopathia oxyuriaca and post-operative ileus. However, he was finally diagnosed with HSP, as the typical rash appeared 10 days after onset of abdominal symptoms. The second patient was a 5-year-old boy with recurrent vomiting, abdominal pain and mild dehydration, where swollen joints and typical rash appeared on day 3. Both patients were successfully managed with orally administered corticosteroids. The patients did not have any further consequences of HSP.

Key words: Abdominal pain; Henoch-Schönlein purpura; diarrhea; vomiting; oxyuriasis


 
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How to Cite this Article
Pubmed Style

Brozikova H, Barochova L, Sykora J, Schwarz J, Lad V, Cvalinova D, Greda M, Kutilek S. Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. Sudan J Paed. 2022; 22(2): 179-184. doi:10.24911/SJP.106-1576094862

Web Style

Brozikova H, Barochova L, Sykora J, Schwarz J, Lad V, Cvalinova D, Greda M, Kutilek S. Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. https://sudanjp.com//?mno=77645 [Access: June 23, 2024]. doi:10.24911/SJP.106-1576094862

AMA (American Medical Association) Style

Brozikova H, Barochova L, Sykora J, Schwarz J, Lad V, Cvalinova D, Greda M, Kutilek S. Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. Sudan J Paed. 2022; 22(2): 179-184. doi:10.24911/SJP.106-1576094862


Vancouver/ICMJE Style

Brozikova H, Barochova L, Sykora J, Schwarz J, Lad V, Cvalinova D, Greda M, Kutilek S. Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. Sudan J Paed. (2022), [cited June 23, 2024]; 22(2): 179-184. doi:10.24911/SJP.106-1576094862


Harvard Style

Brozikova, H., Barochova, . L., Sykora, . J., Schwarz, . J., Lad, . V., Cvalinova, . D., Greda, . M. & Kutilek, . S. (2022) Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. Sudan J Paed, 22 (2), 179-184. doi:10.24911/SJP.106-1576094862


Turabian Style

Brozikova, Hana, Libuse Barochova, Josef Sykora, Jan Schwarz, Vaclav Lad, Dominika Cvalinova, Marek Greda, and Stepan Kutilek. 2022. Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. Sudanese Journal of Paediatrics, 22 (2), 179-184. doi:10.24911/SJP.106-1576094862


Chicago Style

Brozikova, Hana, Libuse Barochova, Josef Sykora, Jan Schwarz, Vaclav Lad, Dominika Cvalinova, Marek Greda, and Stepan Kutilek. "Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura." Sudanese Journal of Paediatrics 22 (2022), 179-184. doi:10.24911/SJP.106-1576094862


MLA (The Modern Language Association) Style

Brozikova, Hana, Libuse Barochova, Josef Sykora, Jan Schwarz, Vaclav Lad, Dominika Cvalinova, Marek Greda, and Stepan Kutilek. "Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura." Sudanese Journal of Paediatrics 22.2 (2022), 179-184. Print. doi:10.24911/SJP.106-1576094862


APA (American Psychological Association) Style

Brozikova, H., Barochova, . L., Sykora, . J., Schwarz, . J., Lad, . V., Cvalinova, . D., Greda, . M. & Kutilek, . S. (2022) Severe abdominal pain: an atypical initial and leading symptom preceding skin rash in Henoch-Schönlein purpura. Sudanese Journal of Paediatrics, 22 (2), 179-184. doi:10.24911/SJP.106-1576094862




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