Henoch-Schönlein purpura (HSP) is a small-vessel vasculitis mainly affecting children but also occurring in adults, characterized by palpable purpura, joint pain, abdominal symptoms, and occasionally renal involvement. We present a case of a 21-year-old male who presented with abdominal pain, joint pain, and fever along with palpable purpuric rash over the lower limbs. Laboratory investigations revealed neutrophilic leukocytosis, elevated inflammatory markers, and mild proteinuria. Imaging showed abdominal lymphadenopathy and enteritis, while skin biopsy confirmed neutrophilic leucocytoclastic vasculitis. Treatment with prednisolone led to symptomatic improvement. This case highlights the clinical features, diagnostic findings, management, required follow-up of Henoch-Schönlein purpura (HSP) in adults.
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Patil et al. (2024) studied this question.
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