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Penile Skin Involvement As the First Presentation of Henoch-Schonlein Purpura Report of Nine Cases and Review of Literature Publisher



Paydary K1, 2 ; Fard SE1, 2 ; Mahboubi AH1 ; Ziaee V3, 4 ; Moradinejad MH4, 5 ; Kajbafzadeh AM1
Authors
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Authors Affiliations
  1. 1. Pediatric Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students’ Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Pediatric Rheumatology Research Group, Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Children’s Medical Center, Pediatrics Center of Excellence, Tehran, Iran
  5. 5. Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Pediatrics Published:2015


Abstract

Introduction: Involvement of penis is a rare presentation in henoch-schonlein purpura (HSP). The presentations are mainly due to the deposition of immunoglobulin A (IgA) into the vessel walls. In this report, we present the clinical history of nine HSP cases that presented with penile skin involvement. Case Presentation: All patients were referred in the acute phase of HSP. Penile skin involvement was evident as erythema, edema, ecchymosis, or induration of prepuce and/or penile shaft, that appeared simultaneously with skin rash in seven patients. Gastrointestinal involvement was positive in six patients. Patients were treated with steroids and follow up visits were normal except for one patient that developed crescentic glomerulonephritis. Conclusions: We present nine cases of HSP with penile involvement in order to indicate another rare aspect of HSP and its possible complications as well as its appropriate treatment. © 2015, Growth & Development Research Center.