Henoch-Schonlein purpura with multiple symptoms in adult patient: a case report

Background: Henoch-Schonlein purpura is a common systemic vasculitis in childhood, usually characterized by skin, abdominal, and renal manifestations. Most patients are 4 to 7 years old and are more common in boys. The disease is very rare in adults with multiple symptoms. Case Report: A 20-year-old male patient with final diagnosis of Henoch-Schonlein disease with rare complications was admitted in our center. The patient referred to the hospital with acute abdomen and free fluid in the abdominal space and underwent appendectomy. During the hospitalization of the patient, purpura in the lower limb and acute scrotum were developed, which treatment was successfully performed. Disease and treatment approach of this patient has significant points that are listed below. Conclusion: incidence of multiple symptoms in Henoch-Schonlein purpura is very rare in adults and may cause organ failure. Therefore, its symptoms should always be considered and appropriate diagnostic measures should be taken to prevent unnecessary surgery. Careful attention and frequent examinations by the surgeon in patients with abdominal complications are also essential.