Which condition is identified by palpable purpura on the buttocks and legs, along with joint pain and abdominal pain in children?

Which condition is identified by palpable purpura on the buttocks and legs, along with joint pain and abdominal pain in children?

• A. Henoch-Schonlein purpura
• B. Vasculitis
• C. Immune thrombocytopenic purpura
• D. Rheumatic fever

Answer: (A)

The condition characterized by palpable purpura on the buttocks and legs, along with joint pain and abdominal pain in children, is Henoch-Schonlein purpura (HSP). HSP is a small-vessel vasculitis that commonly affects children and is associated with the deposition of IgA-dominant immune complexes in the small blood vessels. The hallmark symptoms of HSP include the characteristic skin rash (purpura), which occurs primarily on the buttocks and legs, arthralgia or arthritis affecting large joints, and abdominal pain that can sometimes lead to gastrointestinal complications such as intussusception. The presence of these symptoms together indicates a systemic process rather than a localized problem. HSP often follows an upper respiratory tract infection, and the combination of skin, joint, and abdominal symptoms provides a classic clinical picture for the diagnosis. This understanding leads health care providers to quickly recognize the condition and rule out other diseases that might share similar symptoms but do not present with the same characteristic rash and associated features, making HSP the more likely diagnosis in such scenarios.

The condition characterized by palpable purpura on the buttocks and legs, along with joint pain and abdominal pain in children, is Henoch-Schonlein purpura (HSP). HSP is a small-vessel vasculitis that commonly affects children and is associated with the deposition of IgA-dominant immune complexes in the small blood vessels.

The hallmark symptoms of HSP include the characteristic skin rash (purpura), which occurs primarily on the buttocks and legs, arthralgia or arthritis affecting large joints, and abdominal pain that can sometimes lead to gastrointestinal complications such as intussusception. The presence of these symptoms together indicates a systemic process rather than a localized problem.

HSP often follows an upper respiratory tract infection, and the combination of skin, joint, and abdominal symptoms provides a classic clinical picture for the diagnosis. This understanding leads health care providers to quickly recognize the condition and rule out other diseases that might share similar symptoms but do not present with the same characteristic rash and associated features, making HSP the more likely diagnosis in such scenarios.