Successful treatment of hemorrhagic bullous Henoch-Schonlein purpura with intravenous immunoglobulins

被引:14
作者
Mauro, Angela [1 ]
Mauro, Salvatore [1 ]
Rega, Roberto [2 ]
Martemucci, Luigi [2 ]
Sottile, Rita [2 ]
机构
[1] Santa Maria Pieta Hosp, Dept Paediat, Nola Naples, Italy
[2] Santobono Pausilipon Childrens Hosp, Dept Paediat, Naples, Italy
关键词
hemorrhagic bullous; Henoch-Schonlein purpura; intravenous immunoglobulin; treatment; THERAPY;
D O I
10.1111/pde.13715
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Henoch-Schonlein purpura (HSP) is the most common systemic vasculitis in childhood. There is no consensus about the management for isolated cutaneous manifestations in HSP. We describe a case of HSP presenting with severe skin lesions that did not respond to standard therapy with corticosteroids. The 11-year-old child was treated with intravenous immunoglobulins, which induced rapid and persistent resolution of symptomatology.
引用
收藏
页码:E34 / E36
页数:3
相关论文
共 15 条
[1]   Intravenous immunoglobulins for severe gastrointestinal involvement in pediatric Henoch-Schonlein gurpura: A French retrospective study [J].
Cherqaoui, B. ;
Chausset, A. ;
Stephan, J. -L. ;
Merlin, E. .
ARCHIVES DE PEDIATRIE, 2016, 23 (06) :584-590
[2]   Intravenous immunoglobulin in Henoch-Schonlein purpura complicated by cerebral hemorrhage [J].
De Maddi, Francesco ;
Dinardo, Rocco ;
Buonocore, Maria Consiglio ;
Dinardo, Michele ;
Bartolomei, Beatrice ;
Rigante, Donato .
RHEUMATOLOGY INTERNATIONAL, 2013, 33 (09) :2451-2453
[3]   Bullous lesions in Henoch Schonlein Purpura as indication to start systemic prednisone [J].
den Boer, S. L. ;
Pasmans, S. G. M. A. ;
Wulffraat, N. M. ;
Ramakers-Van Woerden, N. L. ;
Bousema, M. T. .
ACTA PAEDIATRICA, 2010, 99 (05) :781-783
[4]  
Dhanjal Sacha, 2017, BMJ Case Rep, V2017, DOI 10.1136/bcr-2016-218903
[5]   Vasculitis in children [J].
Eleftheriou, Despina ;
Batu, Ezgi Deniz ;
Ozen, Seza ;
Brogan, Paul A. .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2015, 30 :i94-i103
[6]   Massive gastrointestinal haemorrhage in isolated intestinal Henoch-Schonlein purpura with response to intravenous immunoglobulin infusion [J].
Fagbemi, Andrew A. O. ;
Torrente, Franco ;
Hilson, Andrew J. W. ;
Thomson, Michael A. ;
Heuschkel, Robert B. ;
Murch, Simon H. .
EUROPEAN JOURNAL OF PEDIATRICS, 2007, 166 (09) :915-919
[7]   Azathioprine therapy for steroid-resistant Henoch-Schonlein purpura: a report of 6 cases [J].
Fotis, Lampros ;
Tuttle, Paul V. ;
Baszis, Kevin W. ;
Pepmueller, Peri H. ;
Moore, Terry L. ;
White, Andrew J. .
PEDIATRIC RHEUMATOLOGY, 2016, 14
[8]   Pediatric Henoch-Schonlein purpura [J].
Gonzalez, Lenis M. ;
Janniger, Camila Krysicka ;
Schwartz, Robert A. .
INTERNATIONAL JOURNAL OF DERMATOLOGY, 2009, 48 (11) :1157-1165
[9]   Dapsone therapy for Henoch-Schonlein purpura: a case series [J].
Iqbal, H ;
Evans, A .
ARCHIVES OF DISEASE IN CHILDHOOD, 2005, 90 (09) :985-986
[10]   Late Intravenous Immunoglobulin Treatment in Patients With Kawasaki Disease [J].
Muta, Hiromi ;
Ishii, Masahiro ;
Yashiro, Mayumi ;
Uehara, Ritei ;
Nakamura, Yosikazu .
PEDIATRICS, 2012, 129 (02) :E291-E297