I found the article by Drs Daly and Siegel1 in the January 1998 issue of the ARCHIVES to be very interesting but quite troublesome.
The authors mention quite accurately that Henoch-Schönlein purpura is a vasculitis involving the skin, gastrointestinal tract, joints, and kidneys. Several years ago I reviewed all admissions to 3 local university hospitals for Henoch-Schönlein purpura from 1980 to 1990. Table 1 shows the frequency of hospitalization for testicular involvement (swelling and tenderness) mimicking testicular torsion. I would like to suggest that genital involvement is a major cause of Henoch-Schönlein purpura hospital admissions in males.
Joseph PR. Henoch-Schönlein Purpura. Arch Pediatr Adolesc Med. 1998;152(7):715. doi:
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