My 17.5 yo son had Henoch-Schonlein Purpura (HSP) 3.5 years ago. 2 weeks ago he had a cold and immediately afterwards developed severe joint pain, so bad he can hardly walk & occasionally abdominal pain & nausea. no rash.
Is it possible that this is a recurrence of hsp without the rash? How can we check out what’s going on?
Blood test seems normal, no blood in urine. protein in urine is 10 mg/dl.
Will appreciate your advice. Thanks a lot.
Hi and welcome to questiondoctors.com
Since rash is a main characteristic sign and it is not present then i think it is not ..
But it looks like a gastroenteritis …
Get a stool test and keep him dehydrated as possible..
In this case metronidazole 500 is helpful ..
It hardly accure without rash
Check the possibility that your son was misdiagnosed
Remember the is no test for HSP
This is different .
I think he should do an EsR,stool analysis test to check for other problem different from the old one.
Is there a history of tonsillitis ? Loose stools ?