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Penis Tutulumu ve Henoch-Schönlein Purpurası: Olgu Sunumu

Penile Involvement and Henoch-Schönlein Purpura: A Case Report

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DOI: 
DOI 10.5262/tndt.2012.1001.18
Abstract (2. Language): 
Henoch-Schönlein purpura (HSP), characterized by non-thrombocytopenic purpura accompanied by arthritis/arthralgia, gastrointestinal and genitourinary system involvement is the most common vasculitis in childhood. Associated penile involvement is very rare in patients with genitourinary system involvement. We report a 4.5 year-old boy with penile involvement and arthritis after a shortduration remission of HSP. Prednisolone (1mg/kg/day, orally) and conservative measures resulted in complete recovery within five days. In conclusion, steroid treatment could be administered in HSP children with penile involvement although controversial.
Abstract (Original Language): 
Henoch-Schönlein purpurası (HSP), artrit/artralji, gastrointestinal ve genitoüriner sistem tutulumunun eşlik ettiği non-trombositopenik purpura ile karakterize, çocukluk çağının en sık görülen vaskülitidir. Genitoüriner sistem tutulumu olan olgularda penis etkilenmesi oldukça nadirdir. Bu yazıda, HSP tanısı alarak, kısa süreli iyileşme sonrasında penis tutulumu ve artrit bulgularıyla tekrar başvuran dört buçuk yaşındaki bir erkek hasta sunulmak istenmiştir. Prednizolon (ağızdan, 1mg/kg/gün) tedavisi yanında lokal koruma tedavisi ile beş günde tamamen iyileşme sağlanmıştır. Sonuç olarak, penis tutulumu gösteren HSP olgularında, tartışmalı olmakla birlikte, steroid tedavisi uygulanabilir.
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REFERENCES

References: 

1. Szer IS: Henoch-Schönlein purpura: When and how to treat. J
Rheumatol 1996; 23: 1661-1665
2. Bagga A, Dillon MJ: Leukocytoclastic vasculitis. In: Cassidy JT,
Petty RE (eds). Textbook of Pediatric Rheumatology. Philadelphia:
WB Saunders Company, 2001; 569-579
3. Athreya BH: Vasculitis in children. Ped Clin N Am 1995; 42:
1239-1261
4. Miller ML, Pachman LM: Vasculitis syndromes: Henoch-Schönlein
purpura. In: Behrman RE, Kliegman RB, Jensen HB (eds). Nelson
Textbook of Pediatrics. 17th ed. WB Sunders Company, 2004;
826-828
5. Yalçındağ A, Sundel R: Vasculitis in childhood. Curr Opin
Rheumatol 2001; 13: 422-427
6. Mir S, Yavascan O, Mutlubas F, Yeniay B, Sonmez F: Clinical
outcome in children with Henoch-Schönlein nephritis. Pediatr
Nephrol 2007; 22: 64-70
7. Saulsbury FT: Henoch-Schönlein purpura in children. Report of 100
patients and review of the literature. Medicine 1999; 78: 395-409
8. Anil M, Aksu N, Kara OD, Bal A, Anil AB, Yavascan O, Un B:
Henoch-Schönlein purpura in children from Western Turkey: A
retrospective analysis of 430 cases. Turkish J Pediatr 2009; 51:
429-436
9. Gardner - Medwin JMM, Dolezolva P, Cummins C, Southwood
TR: Incidence of Henoch Schönlein purpura, Kawasaki disease and
rare vasculitides in children of different ethnic origins. Lancet 2002;
360: 1197-1202
10. Mintzer CO, Nussinovitch M, Danziger Y, Mimouni M, Varsano
I: Scrotal involvement in Henoch-Schönlein purpura in children.
Scand J Urol Nephrol 1998; 32: 138-139
11. Pennesi M, Biasotto E, Saccari A: Schönlein-Henoch purpura
involving the penis. Arch Dis Child 2006; 91 (7): 603
12. Ferrara P, Marrone G, Nicoletti A, Mastrangelo A, Tiberi E, Rigante
D, Stabile A: Penile involvement in Henoch-Schönlein purpura with
good prognosis. Scand J Urol Nephrol 2007; 41: 567-569
13. David S, Schiff JD, Poppas DP: Henoch-Schönlein purpura
involving the glans penis. Urology 2003; 61: 1035
14. Sandell J, Ramanan R, Shah D: Penile involvement in Henoch-
Schonlein purpura. Indian J Pediatr 2002; 69: 529-530
15. Dillon MJ: Childhood vasculitis. Lupus 1998; 259-265
16. Soreide K: Surgical management of nonrenal genitourinary
manifestations in children with Henoch-Schönlein purpura. J
Pediatr Surg 2005; 40: 1243-1247
17. Uzun H, Alagöz D, Şenses DA, Dikici B, Kocabay K: Penis ödemi
ile kendini gösteren Henoch-Schönlein purpurası. Yeni Tıp Dergisi
2007; 24: 189-191
18. Demir T, Köken R, Doğru Ö, Karaca Ş, Şen T: Penis tutulumu olan
bir Henoch- Schönlein vasküliti olgusu. Düzce Tıp Dergisi 2006;
8-9
19. Burrows NP, Sonnex C, Roberts SO, Carne CA: Cutaneous vasculitis
presenting on the penis. Genitourin Med 1993; 69: 301-302
20. Güven A, Çalışkan B, Gök F, Öztürk H: Balanopostit benzeri
şikayetler ile başvuran Henoch-Schönlein purpurası. Türkiye Çocuk
Hast Derg 2010; 4: 53-55
21. Ballinger S: Henoch-Schönlein purpura. Curr Opin Rheumatol
2003; 15: 591-594
22. Niaudet P, Habib R: Methylprednisolone pulse therapy in the
treatment of severe forms of Schönlein-Henoch purpura nephritis.
Pediatr Nephrol 1998; 12: 238-243

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