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

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.

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.

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.

Iranian journal of pediatrics. 2015 Aug 24 [Epub]

Koosha Paydary, Sahra Emamzadeh Fard, Amir Hassan Mahboubi, Vahid Ziaee, Mohammad Hassan Moradinejad, Abdol-Mohammad Kajbafzadeh

Pediatric Urology Research Center, Tehran University of Medical Sciences, Tehran, IR Iran ; Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, IR Iran. , Pediatric Urology Research Center, Tehran University of Medical Sciences, Tehran, IR Iran ; Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, IR Iran. , Pediatric Urology Research Center, Tehran University of Medical Sciences, Tehran, IR Iran. , Pediatric Rheumatology Research Group, Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, IR Iran ; Children's Medical Center, Pediatrics Center of Excellence, Tehran, IR Iran. , Children's Medical Center, Pediatrics Center of Excellence, Tehran, IR Iran ; Department of Pediatrics, Tehran University of Medical Sciences, Tehran, IR Iran. , Pediatric Urology Research Center, Tehran University of Medical Sciences, Tehran, IR Iran.

PubMed

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