A 7-year-old boy presents with palpable purpura on the buttocks and legs, abdominal pain and arthralgia. Urinalysis shows microscopic haematuria but n...

Question

A 7-year-old boy presents with palpable purpura on the buttocks and legs, abdominal pain and arthralgia. Urinalysis shows microscopic haematuria but normal blood pressure and renal function. He is otherwise well. What is the most appropriate management?

Accepted Answer

Supportive care with analgesia and monitoring of blood pressure and urinalysis

Answer

High-dose corticosteroids for all patients

Answer

Immediate renal biopsy in all cases

Answer

Start long-term anticoagulation

Answer

Avoid follow-up; relapse is rare

au-amc MCQ (SBA): Henoch-Schönlein purpura

A 7-year-old boy presents with palpable purpura on the buttocks and legs, abdominal pain and arthralgia. Urinalysis shows microscopic haematuria but normal blood pressure and renal function. He is otherwise well. What is the most appropriate management?