Henoch-Schönlein purpura history and symptoms

The signs and symptoms of Henoch-Schönlein purpura (HSP) are skin lesions such as palpable purpura, abdominal pain, melena, bloody diarrhea, hematemesis, duodenal ulcers, arthralgia.

Obtaining history gives important information in making a diagnosis of HSP. It provides an insight into the cause, precipitating factors, and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as

Clinical features of HSP:^{[1][2][3][4][5]}

• Skin– The skin lesions start as maculae progressing to papules and then to palpable purpura involving the symmetrical dependent areas such as buttocks, back, upper and lower limbs.
  • Other skin lesions include hives, angioedema, and target lesions.
• Gastrointestinal
  • Abdominal pain
  • Melena
  • Bloody diarrhea
  • Hematemesis
  • Duodenal ulcers
  • GI bleed
• Joints
  • Arthralgia is most common in the knees and ankles and rarely the interphalangeal joints and wrist.

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