Henoch-Schonlein purpura: ultrasonography of scrotal and penile involvement.
- Author:
Youngsik LIM
1
;
Boem Ha YI
;
Hae Kyung LEE
;
Hyun Sook HONG
;
Min Hee LEE
;
Seo Youn CHOI
;
Jae Ock PARK
Author Information
- Publication Type:Case Report
- Keywords: Purpura, Schonlein-Henoch; Ultrasonography; Penis; Scrotum
- MeSH: Child; Child, Preschool; Follow-Up Studies; Humans; Male; Penis; Purpura, Schoenlein-Henoch*; Scrotum; Ultrasonography*
- From: Ultrasonography 2015;34(2):144-147
- CountryRepublic of Korea
- Language:English
- Abstract: Testicular or scrotal involvement has been reported in children with Henoch-Schonlein purpura (HSP), but there are very few reports on penile involvement. We report the initial and follow-up ultrasonographic findings of scrotal and penile involvement of HSP in a 5-year-old boy. On ultrasonography, scrotal soft tissue thickening and epididymal swelling with increased vascularity were noted, and on the penis, a focal mass-like lesion appeared on the dorsal surface of the distal penis, having a hypoechoic mass-like appearance without visible vascular flow on a Doppler study. After 2 days of treatment, follow-up ultrasonography showed normal scrotum and penis with a resolved soft tissue mass-like lesion. Therefore, we think that HSP ultrasonographic findings involving the scrotum and penis might help to diagnose scrotal and penile involvement in a case of HSP and to avoid unnecessary medication and/or surgical procedures.
