Discovering Sequelae of Henoch-Schonlein Purpura Through Imaging:
An Important Role for Radiologists
Purpose or Case Report: 1. To educate Radiologists on the various potential radiographic findings in a pediatric diagnosis of HSP. 2. To bring awareness to the potentially life threatening ramifications of HSP that could be discovered first by the Radiologist. Methods & Materials: An overview of the physiology of Henoch-Schonlein Purpura (HSP) will be provided. Cases of radiologically discovered sequalae of HSP will be shared in order to demonstrate the very important role a Radiologist can have in planning, management, and avoiding dangerous consequences of the disease. Examples of such cases include thickening of the duodenal wall, terminal ileum and cecum, which can be seen relating to the vague abdominal pain children can experience. These findings often precede the hallmark rash of HSP and can aid in diagnosis as well as mitigate complications such as intussusception; another diagnosis found in the HSP cases we will discuss.
Further cases that we will present highlight other body system ramifications that can be found in HSP, such as, renal involvement on ultrasound or neurologic PRESS on MRI. Education on the various complications of HSP will be provided with the use of relevant imaging compiled from our institution. We aim to increase awareness among Radiologists as to their important role in pediatric HSP. Results: Conclusions: There are numerous potential radiographic findings in a pediatric diagnosis of HSP. Being aware of what to look for can either help solidify a diagnosis or be the first discovery pointing you to the diagnosis and avoiding serious complications.
De Ruiter, Chantel
( BC Children's Hospital/ UBC faculty of Medicine
, Vancouver
, British Columbia
, Canada
)
Yewchuk, Lila
( BC Children's Hospital- Radiology
, Vancouver
, British Columbia
, Canada
)
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