ABSTRACT
This chapter outlines a case scenario on Henoch–Schönlein purpura (HSP) followed by a highly detailed explanation of the condition and its management, presenting the symptoms in a way that are likely to be encountered in general practice. HSP is a systemic vasculitis of unknown aetiology and is the commonest vasculitic condition of childhood. It is more common in boys. In the absence of a specific diagnostic test, diagnosis is based on presenting clinical features. Routine bloods and urinalysis should be performed as part of the initial work-up on presentation. HSP is a self-limiting condition, recurring in approximately 33% of patients. In the majority of children, the disease will have subsided by 4 weeks. Bed rest with adequate hydration is generally recommended, as it helps with the resolution of the rash and oedema. Arthritic pain responds well to non-steroidal anti-inflammatory drugs.
