Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2023; 11(26): 6311-6317
Published online Sep 16, 2023. doi: 10.12998/wjcc.v11.i26.6311
Delayed diagnosis of abdominal Henoch-Schonlein purpura in children: A case report
Hui Guo, Zhi-Ling Wang, Zhu Tao
Hui Guo, Department of Pediatrics, West China Second University Hospital, Chengdu 610041, Sichuan Province, China
Zhi-Ling Wang, Zhu Tao, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Chengdu 610000, Sichuan Province, China
Author contributions: Wang ZL analyzed and interpreted the patient data regarding the Henoch-Schonlein purpura and was a major contributor in writing the manuscript; Tao Z collect related literature and complete partial manuscript content; Guo H revised and expanded the manuscript. All authors read and approved the final manuscript.
Supported by the Science and Technology Bureau of Sichuan province, No. 21ZDYF1329.
Informed consent statement: Informed written consent was obtained from the patient’ family for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hui Guo, MD, Doctor, Department of Pediatrics, West China Second University Hospital, No. 20 Section 3, Renmin South Road, Chengdu 610041, Sichuan Province, China. guohui0329@163.com
Received: July 10, 2023
Peer-review started: July 10, 2023
First decision: July 23, 2023
Revised: August 11, 2023
Article in press: August 11, 2023
Published online: September 16, 2023
Processing time: 59 Days and 23.7 Hours
Core Tip

Core Tip: Henoch-Schonlein purpura (HSP) is a common vasculitis in children. Abdominal pain is one of its characteristic features, but the presence of gastrointestinal symptoms alone without a rash is easily misdiagnosed. We report a case of HSP with abdominal pain as the first symptom, emphasizing the importance of differential diagnosis to avoid incorrect surgery.