An Autopsy Case of Schönlein—Henoch's Purpura*

Abstract

Clinical findings : A 10-years-old male. For tow weeks prior to admission he had a cold and sore throat with a temperature of 39°C. Nine days later he noted painful swelling of extremital joints and a rash over both legs and face. This was followed by vomiting, abdominal pain, bloody diarrhea, edema, and origuria. On admission edema was found on the face, hands, and legs. The throat appcraed normal. No abnormality of the heart was apparent. There was painful swelling of almost all joints of the extremities and numerous petechiae were scattered over the extremities and face, in places so extensive. Initial laboratory studies revealed ; moderate anaemia, a slight leucocytosis (12,600) with a normal differential count. Sternal 'puncture was normal, and platelet count was normal (390,000). Rumpel-Leede's test was positive. Bleeding time was slightly, prolonged but the coagulation time was normal.The blood nitrogen was 123.5mg' per lOOcc.There was a slight gamma-globulinaemia, albuminuria and haematuria. Test of occult blood in the stool was positive.