Figure Arm rash. It is more common to have a purpuric outbreak on the lower extremities. However, an outbreak can occur on the abdomen, chest, or as in the case with this woman, on the upper extremities. Note the hive-like lesions that appear larger than the papules. The rash may also be itchy.
Colonoscopy of HSP-affected bowel. This image shows what the lining of the bowel could look like when it is inflamed and swollen, as in HSP. Looks painful…it is.
All information contained within the Johns Hopkins Vasculitis website is intended for educational purposes only. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained within this site.
Consumers should never disregard medical advice or delay in seeking it because of something they may have read on this website. Therefore, treatment is not indicated in all cases, and full recovery is the rule. HSP is more common in children than adults, but has a tendency to be more severe when it occurs in adults. In a small minority of cases, HSP can cause severe kidney or bowel disease. First Description Dr. Dedeoglu F, et al. IgA vasculitis Henoch-Schonlein purpura : Clinical manifestations and diagnosis.
IgA vasculitis Henoch-Schonlein purpura : Management. Ferri FF. IgA vasculitis. In: Ferri's Clinical Advisor Accessed June 12, Mayo Clinic. Accessed May 5, Reamy BV, et al. Henoch-Schonlein purpura IgA vasculitis : Rapid evidence review. In some cases this rash can turn into ulcers The rash is usually over the backs of the limbs, especially the legs, which can also be swollen.
Tummy aches and pains which can be severe and occasionally result in blood in the stool. Painful and swollen joints can occur due to inflammation, usually affecting the knees and ankles. Protein and blood may be found in the urine due to inflammation in the kidneys. Often this will resolve as the child gets better but can be a more serious long-term problem and will need careful monitoring. Compiled by:. Last review date:. Disclaimer Please note this is a generic GOSH information sheet so should not be used for the diagnosis or treatment of any medical condition.
They can arrange a phone call from a nurse or doctor if you need one. Go to If you have darker skin, check paler areas like the palms of the hands and the soles of the feet. There's no treatment for HSP. It usually passes in a few weeks and you can usually just rest at home until you feel better. You'll have regular check-ups for 6 to 12 months to check how well your kidneys are working.
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