Abstract

Dr. Saiprasad Onkareshwar Kavthekar*

ABSTRACT

Henoch-Schonlein Purpura (HSP) is characterised by presence of palpable, non-thrombocytopenic purpura, arthritis and arthralgia, abdominal pain, gastrointestinal haemorrhage and /or nephritis. HSP is typically a childhood disorder, self-limited, benign disease and distinctly less common in adults, in whom severe and chronic complications are often encountered. Approximately one third of patients have at least one recurrence, generally involving cutaneous and abdominal manifestations, especially during first two years period after the initial outbreak. Studies regarding recurrences are very few and incidence of recurrence reported from 2.7% to 51.7% in various studies. Here I report a case of 16 years boy who presented with typical clinical presentation of HSP with initial episode and subsequent six recurrences over the next 3 years with milder clinical presentation than initial episode except one severe recurrence episode which presented with gastrointestinal tract manifestations in the form acute abdominal pain and hematemesis. Since last one year, this young boy is totally asymptomatic.