Lee J S, Choi S K
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 1998 Feb;39(1):73-8. doi: 10.3349/ymj.1998.39.1.73.
Schoenlein-Henoch syndrome (SHS), one of the manifestations of systemic vasculitis, usually involves the skin, gastrointestinal tract, joints and kidney. Since the involvement of male genitalia is very rare and there is little mention of it in textbooks, doctors have a tendency to neglect this finding in SHS. Unless there is a confirming diagnosis, it is easily mistaken for testicular torsion and the patients undergo unnecessary operations because they complain of unbearable scrotal pain. SHS is not uncommon in Korea, but hardly any cases of scrotal involvement are found. We have experienced 7 cases of acute scrotum associated with SHS admitted to Severance Hospital, Yonsei University College of Medicine during the last 20 years; 2 underwent operation and 5 received conservative treatment only.
舍恩莱因-亨诺赫综合征（SHS）是系统性血管炎的表现之一，通常累及皮肤、胃肠道、关节和肾脏。由于男性生殖器受累非常罕见，教科书上对此提及甚少，医生在SHS中往往会忽略这一发现。除非有确诊，否则很容易被误诊为睾丸扭转，患者会因阴囊疼痛难忍而接受不必要的手术。SHS在韩国并不少见，但几乎没有发现阴囊受累的病例。在过去20年里，我们在延世大学医学院Severance医院收治了7例与SHS相关的急性阴囊病例；2例接受了手术，5例仅接受了保守治疗。
