RETROSPECTIVE EVALUATION OF HENOCH SCHONLEIN PURPURA CASES

Authors : Nurdan EROL, Aysu TÜRKMEN, Can ERZİK, Ahmet ÖZGÜNER, Serpil YAVRUCU

Pages : 101-106

View : 42 | Download : 6

Publication Date : 2016-12-03

Article Type : Other Papers

Abstract :Objective: Henoch Schonlein Purpura insert ignore into journalissuearticles values(HSP); is the most common benign vasculitis occurring during childhood. Morbidity and mortality rates rise when there is organ system involvement. We aimed to retrospectively evaluate HSP cases in our clinic according to organ involvement, clinical and laboratory findings. Material and Methods: Twenty-eight HSP cases were followed in our clinic from January 1st 1997 to June 1st 2000. The cases were retrospectively evaluated. Results: The mean age of the patients was 7.96 years insert ignore into journalissuearticles values(interval: 3-14 yrs.);. 17 of them were males, 11 were females. The mean hospitalization period was 6,36 days insert ignore into journalissuearticles values(interval: 1- 16 days);. Two patients had been hospitalized twice due to recurrence and two others had each been hospitalized once before in another clinic due to the same disease. 9 patients insert ignore into journalissuearticles values(32.1 %); had a history of an upper respiratory tract infection insert ignore into journalissuearticles values(URTI); of whom 3 insert ignore into journalissuearticles values(10.7 %); had positive throat cultures for beta hemolytic streptococcus. Skin lesions were seen in all patients. Arthritis/arthralgia developed in 12 insert ignore into journalissuearticles values(42.9 %); patients. Gastrointestinal system tract insert ignore into journalissuearticles values(GIT); involvement developed in 19 patients insert ignore into journalissuearticles values(67.9 %);, 7 insert ignore into journalissuearticles values(25 %); of them presented with abdominal pain and vomiting, 12 insert ignore into journalissuearticles values(42.9 %); with occult fetal blood. In 4 patients insert ignore into journalissuearticles values(14.3 %); with GIT involvement, hematochezia and melena developed later. Abdominal ultrasonography was performed on 17 cases insert ignore into journalissuearticles values(60.7 %);. No surgical intervention was required for any of the patients. 11 patients insert ignore into journalissuearticles values(39,3 %); had renal involvement. In 8 of the cases insert ignore into journalissuearticles values(28,6 %); renal disease presented with microscopic hematuria with or without proteinuria and in the other 3 insert ignore into journalissuearticles values(10,7 %); with macroscopic hematuria. In 1 insert ignore into journalissuearticles values(3.6 %); case acute renal failure developed and hemodialysis was performed. Central nervous system insert ignore into journalissuearticles values(CNS); involvement occurred in one patient insert ignore into journalissuearticles values(3,6 %); who had convulsions. In 2 cases insert ignore into journalissuearticles values(7.1%); scrotal involvement was observed. 13 patients were given steroids. Conclusions: In HSP cases, renal and GIT involvement should be searched for meticulously and patients with renal involvement should be followed up regularly. Key Words: Henoch Schonlein Purpura, HSP nephritis, Vasculitis, Gastrointestinal bleeding.
Keywords :

ORIGINAL ARTICLE URL