Adolescent HSP: A case report from a South Indian tertiary hospital

Henoch-Schönlein purpura (HSP) is an uncommon autoimmune vasculitis that primarily affects the skin, kidneys, and joints. It is characterized by leukocytoclastic vasculopathy, often involving the skin and gastrointestinal system. Here we report the case of a 12-year-old girl who presented with a history of abdominal pain for 8 days and 7 days of vomiting, followed by the development of purpuric rashes on her legs and hands. After comprehensive investigations, the patient was diagnosed with HSP based on characteristics of Schonlein, which includes the presence of purpuric rash, arthritis, and abdominal pain. This case highlights the importance of early diagnosis and a comprehensive, interdisciplinary approach to healthcare, which can aid in effective management and reduce the risk of complications associated with HSP. • A 12-year-old girl presented with symptoms of HSP, including palpable purpura and gastrointestinal bleeding. • Skin biopsy confirmed leukocytoclastic vasculitis and gastrointestinal inflammation, aiding diagnosis. • The condition was managed effectively with a multidisciplinary approach. • Early administration of methylprednisolone resulted in rapid symptom resolution and prevented complications.