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J Pediatr Urol. 2012 Oct;8(5):e47-50. doi: 10.1016/j.jpurol.2012.03.012. Epub 2012 May 10.

Penoscrotal edema and purpura in a 12-year-old boy: a case report and review of causes.

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  • 1University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA 15213, USA.


We report the case of a 12-year-old patient with previously diagnosed Crohn disease who presented with penile edema and purpura, with extension into the scrotum. Subsequent work-up including biopsy led to the diagnosis of extraintestinal Crohn disease, a rare manifestation in the genital region. Prompt treatment with steroids led to complete resolution of both penoscrotal edema and purpura. We describe our case, followed by a discussion of etiologies of penoscrotal edema and purpura as a review for the practicing pediatric urologist.

Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

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