14th September 2020

A 12-year-old boy who was previously fit and well presents to his GP with fever and abdominal pain

A 12-year-old boy who was previously fit and well presents to his GP with fever and abdominal pain. His mother reports that he has been complaining of nausea and diffuse abdominal pain for the past week. He has also started describing aches in multiple joints. On examination, you note a palpable purpuric rash on his buttocks and back of his legs. A urine dipstick shows blood ++. 

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.