Case Report : Henoch Schnolein Purpura with Joint and Gastrointestinal Involvement


  • Nandya Dwizella Medical Faculty of Lampung University
  • Umi Rinasari
  • Nevristia Pratama



Henoch schnolein purpura, kortikosteroid , vaskulitis×


Henoch Schnolein Purpura (HSP) is one of the most Idiopatic Cutaneous Necrotizing Venulitis/Vasculitis, generally found on children compared to adult. The diagnosis HSP based on clinical manifestation which characterized purpuric with one or more following  athralgia/arteritis, renal involvement, gastrointestinal involvement or  Ig-A deposit  in tissue biopsy.  The aim is report a case of HSP with joint and gastrointestinal involvement. A 20-year-old woman came with red spots on both lower limbs and felt  joint pain and vomit, a history of similar red spot and joint pain felt intermittent since 6 years ago. There was history of pain in oral cavity 2 days before red spot appear.  Physical examination, vital signs were within normal limits, epigastric tenderness was found in abdominal examination. Dermatological examination in the cruris-dorsum pedis bilateral found macula erythematous, multiple, milier-lenticular, well-demarcated, discrete-confluent. Patients are diagnosed with HSP according to the clinical symptoms. Trigger factor for HSP is a history of infection. The patient was treated with acetaminophen, steroids, and topical therapy. Most HSP is self-limiting disease, supportive therapy is given to reduce clinical manifestation  and administration of corticosteroids prevent gastrointestinal complication

Author Biographies

Nandya Dwizella, Medical Faculty of Lampung University



Umi Rinasari



Nevristia Pratama




Payne AS SJFP. Cutaneous Necrotizing Venulitis. In: Fitzpatrick Dermatology 9th Edition. 2019. p. 2527–38.

Fairudz Shiba A, Natasha D, Mulyadi F, Kurniati I. Henoch Schonlein Purpura dengan Predominan Manifestasi Gastrointestinal. Vol. 6, J Agro. 2019.

Hetland LE, Susrud KS, Lindahl KH, Bygum A. Henoch-schönlein purpura: A literature review. Acta Derm Venereol. 2017;97(10):1160–6.

Juniawan RFD, Awalia A. Henoch-Schönlein Purpura: Management and Complication. Biomol Heal Sci J. 2020;3(2):113.

Gunturu SG, Sohagia AB, Tong TR, Hertan HI. Henoch-schonlein purpura-A case report and review of the literature. Gastroenterol Res Pract. 2010;2010.

Retnaningtyas LP. Henoch-Schonlein Purpura ( HSP ). 2019;1(1):19–25.

Sood R, Parekh P, Raj N, Saani I. Case Report: An Adult Presentation of Henoch-Schönlein Purpura. Cureus. 2022;14(6):1–5.

Saulsbury FT. Epidemiology of Henoch-Schönlein purpura. Cleveland journal of medicine.2022;69(2):87–9.

Dwiputra EC, Indah L, Noor K, Kedokteran F, et al. Case Report : Henoch Schonlein Purpura in 3 Years Old Boy with Acute Abdomen. Majority J. 2020;9:11–5.

Sonawane VB, Kotrashetti VA, Bainade KS, Nair S, Yewale S. Henoch-Schonlein purpura in child: a case report and review of the literature. Int J Contemp Pediatr. 2020;8(1):193.

Ekinci RMK, Balci S, Melek E, Karabay Bayazit A, Dogruel D, Altintas DU, et al. Clinical manifestations and outcomes of 420 children with Henoch Schönlein Purpura from a single referral center from Turkey: A three-year experience. Mod Rheumatol [Internet]. 2020;30(6):1039–46. Available from:

Putri AT, Awalia. Diagnosis and management of Henoch-Schonlein purpura in Indonesian elderly with severe complication: A rare case. Ann Med Surg. 2022;77(6):6–10.

Rathee M, Sapra A. Dental Caries. 2022 Jun 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; tersedia dari :



How to Cite

Dwizella, N., Rinasari, U., & Pratama, N. (2023). Case Report : Henoch Schnolein Purpura with Joint and Gastrointestinal Involvement. Medical Profession Journal of Lampung, 13(1), 72-76.