|
|
|
Indian Pediatr 2016;53: 757 |
 |
Henoch-Schönlein Purpura with Penile
Involvement
|
|
*K Jagadish Kumar and
#Subramanian Ramaswamy
Departments of *Pediatrics and #Rheumatology
and Immunology, JSS Medical College, JSS University, Mysore, India.
Email: [email protected]
|
|
A 10-year-old boy presented with fever and skin
lesions of the lower limbs for 6 days along with abdominal pain and
joint pains for 3 days. Dermatological examination revealed palpable
purpura all over the lower limbs (Fig. 1a). Genital
examination revealed swollen and hyperaemic penis (Fig. 1b).
His platelet, count, and kidney and liver function tests were normal;
ASLO, HBsAg, p-ANCA, c-ANCA and ANA were negative. Serology for dengue
and Weil-felix text were negative. Skin biopsy and direct
immunofluorescence studies were suggestive of Henoch–Schönlein purpura
(HSP).
 |
|
Fig. 1 Purpura over both lower limbs
(a); and swollen hyperemic penis (b).
|
In HSP, involvement of penis is extremely rare.
Penile skin involvement is characterised by swelling, erythema,
ecchymosis or induration of the shaft/prepuce. The differential
diagnoses for such penile involvement are balanoposthitis and
paraphimosis.
|
|
|
 |
|
