Henoch–Schönlein Purpura (HSP) is a common vasculitis seen in younger children. The classic skin finding is palpable purpura in gravity dependent areas of the body (buttocks and legs). Children can also have arthralgias, abdominal pain and intussusception, and even nephritis. Learn about the diagnosis and management of Henoch–Schönlein Purpura (HSP) in this brief podcast episode.

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Managing Pain in Sickle Cell Vaso-Occlusive Crises – PEM Currents: The Pediatric Emergency Medicine Podcast

Vaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient’s typical pain pattern, opioid history, and psychosocial context can guide more effective […]

1. Managing Pain in Sickle Cell Vaso-Occlusive Crises 10:32
2. Penetrating Neck Injuries
3. Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI 29:34
4. Parvovirus B19 (Fifth Disease) 11:48
5. The Unvaccinated Child with Fever 21:42

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References

Chen JY et al. Henoch-Schönlein purpura nephritis in children: incidence, pathogenesis and management. World J Pediatr. 2015 Feb;11(1):29-34.

Saulsbury, FT (1999) Henoch-Schönlein purpura in children. Report of 100 patients and review of the literature. Medicine (Baltimore) 78: pp. 395-409

Saulsbury FT. Henoch-Schonlein Purpura. Current Opinion in Rheummatology. Jan. 2001;13(1):35-40.

Little KJ, Danzl DF. Intussusception associated with Henoch-Schonlein Purpura. The Journal of Emergency Medicine: 1991;9(1):29-32.

Chamberlain RS, Greenberg LW. Scrotal involvement in Henoch-Schonlein Purpura: A case report and review of the literature. Pediatric Emergency Care;8(4):213-215.

Saulsbury FT. Henoch-Schonlein Purpura. Current Opinion in Rheummatology: Jan. 2001; Vole 13(1). Pp.35-40.