Acute scrotal swelling in Henoch-Schönlein purpura: a case report

Hinyokika Kiyo. 2000 Oct;46(10):739-41.


Henoch-Schönlein purpura is a systemic vasculitis and sometimes presents as acute scrotal swelling in children. We report a case of Henoch-Schönlein purpura with acute scrotal swelling, which was correctly diagnosed based upon local physical findings. Scrotal ultrasonography showed normal testes and hydrocele testis around the affected testis 3 hours after the sudden onset of the pain. The scrotal symptoms improved in 2 days with steroid therapy. Scrotal ultrasonography was useful to diagnose Henoch-Schönlein purpura with scrotal involvement. Steroid treatment appeared to be effective for this condition.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Child
  • Genital Diseases, Male* / diagnostic imaging
  • Genital Diseases, Male* / drug therapy
  • Humans
  • Hydrocortisone / administration & dosage
  • Hydrocortisone / analogs & derivatives*
  • IgA Vasculitis* / diagnostic imaging
  • IgA Vasculitis* / drug therapy
  • Male
  • Scrotum* / diagnostic imaging
  • Treatment Outcome
  • Ultrasonography


  • hydrocortisone hemisuccinate
  • Hydrocortisone