Friday, 22 July 2016

Henoch-Schonlein purpura

Condition

  • Commonest vasculitis of children 
Classic triad 
  • non thrombocytopenic purpura 
  • large joint arthritis
  • abdominal pain 
History 
  • upper respiratory tract infection including a group A streptococcal tonsillopharyngitis
  • mainly in children
  • rash, mainly on buttocks and legs
  • arthritis: mainly ankles and knees
  • abdominal pain - colicky 
  • haematuria
  • associations
    • kidney involvement - deposition of IgA immune complex
    • Malaena
    • intussusception 
    • Scrotal involvement
Investigaions
  • FBE
  • UEC
  • Urine: protein and blood: spun specimen, micro for casts

Management
  • Analgesics 
  • Check UEC 
  • Beware of renal failure 

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