Ultrasonography.  2015 Apr;34(2):144-147. 10.14366/usg.14042.

Henoch-Schonlein purpura: ultrasonography of scrotal and penile involvement

• Lim Y
• Yi BH
• Lee HK
• Hong HS
• Lee MH
• Choi SY
• Park JO

• KMID: 2159389
• DOI: http://doi.org/10.14366/usg.14042

Abstract

Testicular or scrotal involvement has been reported in children with Henoch-Schonlein purpura (HSP), but there are very few reports on penile involvement. We report the initial and follow-up ultrasonographic findings of scrotal and penile involvement of HSP in a 5-year-old boy. On ultrasonography, scrotal soft tissue thickening and epididymal swelling with increased vascularity were noted, and on the penis, a focal mass-like lesion appeared on the dorsal surface of the distal penis, having a hypoechoic mass-like appearance without visible vascular flow on a Doppler study. After 2 days of treatment, follow-up ultrasonography showed normal scrotum and penis with a resolved soft tissue mass-like lesion. Therefore, we think that HSP ultrasonographic findings involving the scrotum and penis might help to diagnose scrotal and penile involvement in a case of HSP and to avoid unnecessary medication and/or surgical procedures.

Keyword

Purpura, Schonlein-Henoch; Ultrasonography; Penis; Scrotum

MeSH Terms

Child
Child, Preschool
Follow-Up Studies
Humans
Male
Penis
Purpura, Schoenlein-Henoch*
Scrotum
Ultrasonography*