Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Abdominal wall and labial edema presenting in a girl with Henoch-Schönlein purpura: a case report | Hiram-Karasmanis et al. Journal of Medical Case Reports 2010 4 98 http content 4 1 98 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Abdominal wall and labial edema presenting in a girl with Henoch-Schonlein purpura a case report Rania Hiram-Karasmanis1 Ronald Garth Smith1 Maria Radina2 Donald Allen Soboleski3 Abstract Introduction Henoch-Schonlein purpura is a common immunoglobulin A-mediated vasculitic syndrome in children characterized by purpuric rash arthritis and abdominal pain. Renal involvement manifested by the presence of hematuria and or proteinuria is also frequently seen. In most cases patients with this disease achieve complete recovery but some progress to renal impairment. Gastro-intestinal manifestations are present in two-thirds of affected patients and range from vomiting diarrhea and peri-umbilical pain to serious complications such as intussusception and gastrointestinal hemorrhage. Case presentation We report the case of a 7-year-old Caucasian girl who presented with abdominal pain labial swelling and a large abdominal ecchymosis two weeks after having been diagnosed with Henoch-Schonlein purpura. A computed tomography scan revealed abdominal wall edema extending to the groin without any intraabdominal pathology. She was successfully treated with intravenous steroids. Conclusion Circumferential anterior abdominal wall edema and labial edema have never been reported previously to the best of our knowledge as a complication of Henoch-Schonlein purpura. These findings further contribute to the wide spectrum of manifestations of this disorder in the literature aiding in its recognition and management. Introduction Henoch-Schonlein purpura HSP is an IgA-mediated vasculitis that presents with the common tetrad of abdominal pain arthritis purpuric rash and renal involvement. It is usually a benign disease of childhood typically affecting children between the ages of four and seven years who achieve complete
