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Pediatrics Urinary Tract ac5b8795

Abdominal pain in Henoch Schonlein purpura is due to -

A
Mucosal erosions and swelling of the G1 mucosa
B
Gastrointestinal hemorrhage
C
Volvulus
D
Associated pancreatic inflammation
High-Yield Explanation
Ans. is 'a' i.e., Mucosal erosions and swelling of the GI mucosa Abdominal pain in HSPo The second most frequent symptom of Henoch-Schonlein purpura is abdominal pain, which occurs in up to 65 percent of cases. The most common complaint is colicky abdominal pain, which may be severe and associated with vomiting. Stools may show gross or occult blood; hematemesis may also occur. The pain may mimic that of an acute abdomen. Severe cases may proceed to intussusception, hemorrhage and shock. Younger children are less likely to exhibit gastrointestinal symptoms. Endoscopic evaluation often shows mucosal erosions and swelling

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