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Clinical Pediatrics, Vol. 27, No. 5, 254-256 (1988)
DOI: 10.1177/000992288802700509

Henoch-Schönlein Syndrome

Unusual Manifestations With Hydrops of the Gallbladder

Brian W. McCrindle, MD

Department of Pediatrics, CMSC 1-144, Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21205

Robert A. Wood, MD

Department of Pediatrics, CMSC 1-144, Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21205

Anna R. Nussbaum, MD

Henoch-Schönlein Syndrome (HSS) is characterized by the presence of purpuric skin lesions, colicky abdominal pain, renal manifestations, and arthritis. We report a case complicated by several unusual manifestations, including hydrops of the gallbladder and extreme thrombocytosis. Gallbladder hydrops has been known to occur in association with several conditions including Kawasaki syndrome, scarlet fever, and leptospirosis, but no previous report of this occurring in a patient with HSS could be found. The hydrops in our patient resolved spontaneously without specific medical or surgical treatment.


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