Henoch -Schonlein Purpura with gastrointesinal bleeding and hematuria

A girl of 8 years presented with fever, pupuric rashes , gastrointestinal bleeding and hematuria of 2 weeks duration.

Fever is moderate in degree and intermittent in nature, palpable rashes are distributed on the external surfaces of the body with occasional overlap on the other areas, GI bleeding was in the form of hematomesis and melena , hematuria was mild in nature.

He had no past history of the same illness, no history of offending drugs or agents taking that may cause blood dyscrasias

On physical examination, the child has mild pallor with normal pulse, BP,temp and respiration. She has no lymphadenopathy or hepatospenomegaly. Other system reveals no abnormality.

The case was suspected as a case of Henoch Schulen Purpura.

Because of fever among the other possibilities we consider Dengue Haemorrhagic fever, Leaukemia, aplastic anaemia were considered.

On investigation, Hb was 13.5 gm/dl, TC, DC, BT, CT, Platelet, PBF, X-ray Chest were normal.

So the provisional diagnosis prevailed as the final diagnosis.

Pt responded well to prednisolone with the subsidence of bleeding tendencies. Patient is still our ward waiting for more recovery.

Badrud Doza

Badrud-Doza