A 7-year-year-old boy presents with palpable purpura on the buttocks and legs, abdominal pain and arthralgia. Renal function and blood pressure are no...

Question

A 7-year-year-old boy presents with palpable purpura on the buttocks and legs, abdominal pain and arthralgia. Renal function and blood pressure are normal. Urinalysis shows trace haematuria but no protein. He is mildly uncomfortable but systemically well. What is the most appropriate management?

Accepted Answer

Supportive care with analgesia and monitoring for renal involvement

Answer

Start high-dose prednisolone immediately

Answer

Start IV cyclophosphamide

Answer

Start prophylactic antibiotics

Answer

Urgent renal biopsy

au-amc MCQ (SBA): IgA vasculitis (HSP)

A 7-year-year-old boy presents with palpable purpura on the buttocks and legs, abdominal pain and arthralgia. Renal function and blood pressure are normal. Urinalysis shows trace haematuria but no protein. He is mildly uncomfortable but systemically well. What is the most appropriate management?