An 16-year-old female presents with hematuria and bloody diarrhea with abdominal colic about 2-3 weeks after an upper respiratory infection. On examination, you note the presence of a palpable, petechial rash and edema of the feet and ankles as pictured (see image).
Image.
Which of the following statements is CORRECT about a presumptive diagnosis of Henoch-Schönlein purpura (HSP)?
- HSP never spontaneously resolves.
- HSP is often complicated by myocarditis and congestive heart failure.
- HSP may cause serious GI complications that respond to high-dose steroids.
- HSP is unusual in young adults.
- The rash of HSP favors the trunk and flexor surfaces of the extremities.
This question appears in Med-Challenger Emergency Medicine Review with CME
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