Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a classic tetrad of palpable purpura (predominantly lower extremities/buttocks), arthralgia/arthritis, abdominal pain, and renal involvement. Onset of rash noted [Number] days ago, non-blanching, symmetrical distribution. Associated symptoms include colicky abdominal pain, hematuria, or joint swelling. No history of recent trauma, coagulopathy, or systemic infection.
Clinical Examination Findings
Vitals: Stable. Skin: Palpable purpura noted on lower extremities and buttocks, non-blanching, no evidence of necrosis or ulceration. Joints: Swelling and tenderness noted in [Joints involved], range of motion limited by pain. Abdomen: Soft, tender to palpation, no rebound or guarding. Renal: Urinalysis shows [Hematuria/Proteinuria status].
Treatment Protocol
Management is primarily supportive. Hydration and analgesia with acetaminophen or NSAIDs (if renal function is normal). Corticosteroids (Prednisolone 1-2 mg/kg/day) indicated for severe abdominal pain or significant renal involvement. Monitor blood pressure and serial urinalysis for hematuria/proteinuria. Follow-up in [Timeframe] to assess renal progression.