Henoch-Schönlein purpura in adults in the emergency department

A report of an unusual and easily missed diagnosis of Henoch-Schonlein purpura in an adult Caucasian male who presented in the emergency department. The patient had widespread rashes, positive urine dipstick (haematuria, proteinuria and ketonuria) and responded well to steroid and fluids treatment in the emergency department. He was admitted to the acute medical unit.