A 6-year-old boy was brou...

A 6-year-old boy was brought to the pediatric clinic by his mother, complaining of intermittent abdominal pain for the past 4 days. The patient had normal bowel movements and flatus, with no presence of blood, liquid stools, or vomiting. Additionally, a reddish rash had developed on both legs, which had worsened over the past week. The patient reported no urination issues, fever, or other complaints. Approximately 3 weeks ago, there was a history of cough and cold that had resolved on its own. Physical examination revealed compos mentis consciousness, stable vital signs, BW/U 80%, TB/U 92%, and BW/TB 80%. The abdomen exhibited diffuse tenderness with no muscular defans. A confluent maculopapular rash of varying size was observed on both limbs, buttocks, and part of the midriff, palpable to touch (Image attached). Direct immunofluorescence (DPL) and species count were normal, and urinalysis showed hematuria (+1) with a LFG within the normal range. The patient was subsequently diagnosed with Henoch-Schonlein Purpura.