Unusual presentation of immunoglobulin A vasculitis with acute scrotal swelling and epididymo orchitis in a 5-year-old boy
Year: 2025
Type: article
Study design: Case Report
Abstract: Immunoglobulin A (IgA) vasculitis, formerly known as Henoch-Schönlein purpura (HSP), is a small vessel vasculitis primarily affecting children. It commonly presents with palpable purpura, arthralgia, abdominal pain, and renal involvement. However, atypical presentations can occur, posing diagnostic challenges. Here, we present a case of IgA vasculitis in a 5-year-old boy with a unique manifestation of epididymitis as the primary presenting symptom. Scrotal ultrasound demonstrated Epididymo-orchitis with funiculitis. Skin examination revealed scattered palpable purpura over the lower extremities. Thus, a clinical diagnosis of IgA Vasculitis is made. The patient recovered with corticosteroids and supportive care.
Authors: Sahithi Putcha, Maheswari Katakamsetty
Institution: Children's Hospital of Michigan
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408812059