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Recurrent ureteric obstruction in association with Henoch-Schönlein purpura.
  1. J. M. Powell,
  2. H. Ware,
  3. G. Williams
  1. Department of Urology, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.


    The most common urological manifestation of Henoch-Schönlein purpura is focal proliferative glomerulonephritis. Ureteric obstruction as a consequence of the disease has been reported in children but is rare. We report an adult male patient with Henoch-Schönlein purpura causing unilateral, bi-focal, recurrent ureteric obstruction. We speculate that ureteric involvement in Henoch-Schönlein purpura may be more common than hitherto suspected and that even with a demonstrable obstructive episode, consideration must be given for an initial conservative approach.

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