Usuda K, Kawasaki C
Department of Urology, Shizuoka Children's Hospital.
Hinyokika Kiyo. 1987 Aug;33(8):1292-5.
A case of acute scrotal swelling with pain in a 4-year-old boy suffering from Schoenlein-Henoch purpura is reported. Immediate scrotal exploration revealed epididymal ecchymosis and slightly edematous spermatic cord on the right side. Spermatic cord torsion was not recognized. The testis had a normal appearance. Convalescence was uneventful. Scrotal lesion disappeared within a week. Schoenlein-Henoch purpura is systemic vasculitis, which is noticed on any site of the body including male external genitalia. Several reports mainly on the testicular lesion have been made, but the epididymal findings were obscure. This case showed the prominent lesion on the epididymis. The anatomical architecture of the epididymis suggested that the principal inflammatory change of scrotal signs of Schoenlein-Henoch purpura is epididymitis.
报告了一例4岁患过敏性紫癜的男孩出现急性阴囊肿胀伴疼痛的病例。立即进行阴囊探查发现右侧附睾瘀斑和精索轻度水肿。未发现精索扭转。睾丸外观正常。恢复过程顺利。阴囊病变在一周内消失。过敏性紫癜是一种系统性血管炎，可出现在身体的任何部位，包括男性外生殖器。已有几篇主要关于睾丸病变的报道，但附睾的表现尚不明确。该病例显示附睾有明显病变。附睾的解剖结构提示过敏性紫癜阴囊体征的主要炎症变化是附睾炎。
