BILATERAL ACUTE URETERAL STENOSIS, EDEMA OF THE INTESTINAL WALL AND GLOMERULONEPHRITIS IN HENOCH-SCHONLEIN PURPURA

A 13-year-old boy demonstrated purpura rheumatica, glomerulonephritis, acute bilateral ureteral stenosis and general thickening of the wall of the small intestine by hemorrhagic-inflammatory imbibition of the d ifferent corresponding wall layers. Symptoms of acute abdominal pain d isappeared during therapy with prednisone i.v. (2 mg/kg) and symptomat ic analgesia. No surgical intervention was necessary under close obser vation, postrenal insufficiency did not develop. Early use of cortison e is justified in this clinical syndrome.