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.
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists I will be presenting at the National Conference and Exhibition I will be sharing four cases online in advance of the conference. This is the first of the four cases. See if you can conquer all four "mountains" and guess the correct diagnosis.
Kawasaki Disease, AKA Mucocutaneous Lymph Node Syndrome, is one of the most common vasculitides of childhood. The hallmark is fever ≥5 days plus 4/5 of the following; mucous membrane changes, conjunctivitis, polymorphous rash, extremity changes and lymph node enlargement. It can also lead to coronary artery aneurysms, which is why its so important to make an accurate diagnosis.
You will see Henoch-Schönlein Purpura at some point in the ED. Knowing how to work it up, and how to treat the symptoms are important naturally. Read on for more.
You see a kid that you're pretty sure has Henoch Schonlein Purpura (HSP). OK, you're certain 'cause they have the rash and EVERYTHING. They aren't hypertensive, and their urine is normal. They have belly pain, but no currant jelly stools, and they don't have intussusception because the ultrasound was normal. He is eating and drinking OK, and can walk to [...]
