Acute scrotum caused by Henoch-Schönlein purpura

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Abstract

A boy aged 3 years and 11 months with arthralgia and purpuric skin rash was diagnosed with Henoch-Schönlein purpura (HSP) following an acute occurrence of his scrotal pain and swelling 17 days after the appearance of arthralgia. Immediate scrotal exploration was performed to confirm vasculitis of the left epididymis compatible with a scrotal manifestation of HSP. Postoperative course was uneventful. Twenty-five cases of HSP with acute scrotum reported in Japan, including this case, are calculated and discussed.

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