BMJ Case Reports 2018; doi:10.1136/bcr-2017-220129
  • Rare disease

Unusual presentation of Henöch-Schonlein purpura

  1. Liaqat Chowoo3
  1. 1Department of Urology, Lister Hospital, Stevenage, UK
  2. 2Department of Urology, Lister Hospital, Stevenage, UK
  3. 3Bedford Hospital NHS Trust, Bedford, UK
  1. Correspondence to Mr Andrew Brodie, andrew.brodie{at}
  • Accepted 5 May 2018
  • Published 30 May 2018


We present a rare case of a 4-year-old boy with newly diagnosed Henöch-Schonlein purpura (HSP) affecting the scrotum and penis. The patient presented to the emergency department with palpable purpura symmetrically distributed over the lower limbs. This was associated with arthritis of the right knee, abdominal pain and scrotal swelling. These symptoms were preceded by an upper respiratory tract infection (URTI). The patient was initially treated with empirical oral antibiotics for epididymitis and was discharged. He subsequently re-presented 12 days later with penile swelling, erythema and tenderness. An ultrasound scan of the penis revealed grossly oedematous subcutaneous tissue with normal penile architecture. His symptoms resolved spontaneously and the patient remains under close follow-up by the paediatric team for further sequelae of HSP.


  • Contributors AB, NG and RN were involved in the writing up, designing and final drafting of the manuscript. LC was involved in final drafting and approving the submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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