Henoch-Schönlein purpura

Also called HSP or IgA vasculitis

Henoch-Schönlein purpura (HSP), also called IgA vasculitis, is a condition where small blood vessels become inflamed. It causes a raised, purple-red rash, usually on the legs and bottom, along with joint and tummy pain. It mostly affects children and often follows a throat or chest infection.

Last updated Nov 9, 2026

What it is

It usually gets better on its own within a few weeks. Rest and pain relief help.

Sometimes it affects the kidneys, so urine and blood pressure checks are usually done for several months afterwards.

Common signs

  • Raised purple or red spots that do not fade when pressed, often on the legs and bottom
  • Painful, swollen joints
  • Tummy pain
  • Blood in the pee or poo

How it is usually diagnosed

  • Examination of the rash
  • Urine tests
  • Blood pressure checks
  • Blood tests, sometimes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Urine test results over the following months
  • Blood pressure readings
  • Paediatric letters

Questions to ask your doctor

  • How long will urine checks be needed?
  • What signs of kidney problems should I watch for?
  • Can it come back?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A rash that does not fade under a glass with fever or a very unwell child, severe tummy pain, or blood in the poo: get urgent medical help

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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