Acute scrotum in 7 cases of Schoenlein-Henoch syndrome.

Author: Jae Seung LEE ¹ ; Seung Kang CHOI
Author Information

1. The Institute of Kidney Disease, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Publication Type:Case Report
Keywords: Acute scrotum; Schoenlein-Henoch syndrome
MeSH: Acute Disease; Case Report; Child; Child, Preschool; Edema/etiology*; Epididymitis/etiology*; Human; Male; Purpura, Schoenlein-Henoch/complications*; Scrotum*; Spermatic Cord Torsion/therapy; Spermatic Cord Torsion/etiology*
From:Yonsei Medical Journal 1998;39(1):73-78
CountryRepublic of Korea
Language:English
Abstract: Schoenlein-Henoch syndrome (SHS), one of the manifestations of systemic vasculitis, usually involves the skin, gastrointestinal tract, joints and kidney. Since the involvement of male genitalia is very rare and there is little mention of it in textbooks, doctors have a tendency to neglect this finding in SHS. Unless there is a confirming diagnosis, it is easily mistaken for testicular torsion and the patients undergo unnecessary operations because they complain of unbearable scrotal pain. SHS is not uncommon in Korea, but hardly any cases of scrotal involvement are found. We have experienced 7 cases of acute scrotum associated with SHS admitted to Severance Hospital, Yonsei University College of Medicine during the last 20 years; 2 underwent operation and 5 received conservative treatment only.