Pediatric Nephrology (2019) 34:243–244 https://doi.org/10.1007/s00467-018-3997-0 CLINICAL QUIZ A child with arthritis, skin rash, abdominal pain and nephritis: searching beyond Henoch–Schönlein purpura—Questions 1 1 1 William Chotas & Mohammad Ilyas & Asad Tolaymat Received: 10 June 2018 / Accepted: 11 June 2018 / Published online: 27 July 2018 IPNA 2018 Keywords Hematuria Proteinuria Case report out masses or hepatosplenomegaly. She had arthritis of the metacarpal-phalangeal, knee, and ankle joints. There A 14-year-old previously healthy white female presented were palpable non-blanching small maculopapular lesions with complaints of arthralgias of the fingers and toes that mostly on the legs extending to the buttocks, but also had progressed to involve the knees, shoulders, and tem- present on the elbows. The rash spared the trunk. She poromandibular joint over the previous month. She also had no neurological complaints. had an urticarial skin rash involving the buttocks area Chest radiograph and computed tomography angiogram along with the upper and lower extremities. She were normal. Urinalysis showed microhematuria but no complained of fatigue and acute shortness of breath, but proteinuria. denied fever or weight loss. She denied hematuria, ab- After improvement of her clinical symptoms, she was dominal pain, or hematochezia. The arthralgias were discharged home
Pediatric Nephrology – Springer Journals
Published: Jul 27, 2018
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