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Palpable purpura on buttocks/legs, arthralgias, and abdominal pain (with possible GI bleeding) in child following URI

User Hauns TM
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1 Answer

6 votes

Final answer:

The symptoms described, including palpable purpura, arthralgias, and abdominal pain following an upper respiratory infection, are suggestive of Henoch-Schönlein purpura, a condition most common in children. It is important for the child to be evaluated by a healthcare professional for diagnosis and appropriate treatment.

Step-by-step explanation:

The symptoms described in the question, such as palpable purpura on the buttocks/legs, arthralgias (joint pain), abdominal pain, gastrointestinal (GI) bleeding following an upper respiratory infection (URI), are suggestive of a condition known as Henoch-Schönlein purpura (HSP). This condition is most common in children and can cause a variety of symptoms, including renal involvement which can lead to hematuria (blood in the urine) and proteinuria (protein in the urine).

Other potential illnesses that share some of these symptoms include various infectious diseases, such as those that cause fever, headache, muscular pain, and vomiting. Moderate to severe diseases can also lead to serious symptoms like mucosal hemorrhages, jaundice, and confusion. However, the specific combination of symptoms like palpable purpura, GI bleeding, and arthralgias following a URI points towards HSP.

In managing a patient with these symptoms, it's important that the child is evaluated by a healthcare professional to confirm the diagnosis and begin appropriate treatment, which can vary depending on the severity of the manifestations.

User Jan Groth
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