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HSP causes a skin rash, pain in the joints (such as the knees and ankles) and stomach pain. The rash looks like small bruises or small reddish-purple spots. It's usually on the buttocks, around the elbows and on the legs. HSP can also cause fever, nausea, vomiting and diarrhea.
Purpura not due to a low platelet count, caused by inflammation in blood vessels of the skin, is the hallmark of HSP. The tetrad of purpura, arthritis, kidney inflammation, and abdominal pain is often observed. However, all four elements of this tetrad are not required for diagnosis.