A young 24 year old gentleman with history of GERD on omeprazole presented with worsening LLQ pain for the past month. Described as “deep and aching”, \u00a0it was non-radiating and exacerbated with meals. \u00a0Additionally, he had associated nausea and non-bloody emesis with resolved non-bloody loose stools over the past week prior to admission. \u00a0He denies fevers, chills or night sweats, but does admits to 15-20 lb unintentional weight loss during this time period. \u00a0The twist of the case refers to the resolving non-pruritic, palpable purpura seen more so on the posterior thighs and buttocks, as well as on the extensor surfaces of the elbows bilaterally. Skin biopsy ensued.<\/p>\n
Highlights of the discussion included the following:<\/p>\n
1) Challenge of assessing symptoms independently (the abdominal pain and the rash) versus grouping them into one syndrome (instead , the rash as an extra-intestinal manifestation)<\/p>\n
2) \u00a0Exploration of working diagnosis of Henoch-Schonlein Purpura (HSP) and the tools needed for diagnosis<\/a>, including target populations and revised guidelines<\/p>\n 3) \u00a0Specific gastrointestinal manifestations in patients who have the diagnosis of HSP, such as bowel wall thickening on imaging and complications such as intussusception.<\/p>\n Curious to learn more? Take a look at the following articles (here<\/a> and here<\/a>).<\/p>\n","protected":false},"excerpt":{"rendered":" A young 24 year old gentleman with history of GERD on omeprazole presented with worsening LLQ pain for the past month. Described as “deep and aching”, \u00a0it was non-radiating and exacerbated with meals. \u00a0Additionally, he had associated nausea and non-bloody emesis with resolved non-bloody loose stools over the past week prior to admission. \u00a0He denies […]<\/p>\n","protected":false},"author":5942,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[4854],"tags":[4858,4859],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts\/4088"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/users\/5942"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/comments?post=4088"}],"version-history":[{"count":0,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/posts\/4088\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/media?parent=4088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/categories?post=4088"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/tags?post=4088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}