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How should I approach the management of a patient with Henoch-Schönlein Purpura who presents with abdominal pain?
Answer
Abdominal pain is a recognized manifestation of Henoch-Schönlein Purpura (HSP) (Leung et al., 2020). HSP can be associated with various factors, including infections such as rotavirus (Tang et al., 2017), and may present alongside other systemic conditions like pulmonary tuberculosis (Li et al., 2020). However, the provided UK clinical guidelines, including those from CKS and NICE, do not offer specific guidance on the management of abdominal pain in patients with Henoch-Schönlein Purpura 1,2,3,4,5,6,7. Similarly, the provided peer-reviewed literature confirms abdominal pain as a feature of HSP but does not detail specific management protocols for this symptom (Tang et al., 2017; Leung et al., 2020; Li et al., 2020).
Key References
- CKS - Ulcerative colitis
- CKS - Urticaria
- CKS - Sickle cell disease
- CKS - Dyspepsia - proven peptic ulcer
- CG143 - Sickle cell disease: managing acute painful episodes in hospital
- CG141 - Acute upper gastrointestinal bleeding in over 16s: management
- NG224 - Urinary tract infection in under 16s: diagnosis and management
- (Tang et al., 2017): A Case of Henoch-Schonlein Purpura Associated with Rotavirus Infection in an Elderly Asian Male and Review of the Literature.
- (Leung et al., 2020): Henoch-Schönlein Purpura in Children: An Updated Review.
- (Li et al., 2020): Pulmonary tuberculosis presenting as henoch-schönlein purpura: Case report and literature review.
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