HENOCH-SCHONLEIN PURPURA - A REVIEW

被引:0
作者
Sinclair, Paul [1 ,2 ]
机构
[1] Red Cross War Mem Childrens Hosp, Cape Town, South Africa
[2] Vincent Palotti Hosp, Cape Town, South Africa
关键词
THERAPY; NEPHRITIS;
D O I
暂无
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Henoch-Schonlein purpura (HSP), the commonest childhood vasculitis, is typified by skin, joint, gastrointestinal tract and renal involvement. It shows peak incidence between the ages of 4 and 6 years and has a recurrence rate of 30%. Investigations are useful in differentiating HSP from other vasculitides but the diagnosis is clinical. Renal damage via an immune complex glomerulonephritis is the most serious long-term complication and warrants the greatest attention from clinicians: to establish who requires long-term follow-up, renal biopsy and immunosuppressive therapy. Immunosuppressive regimens are varied, and local experience with corticosteroids and azathioprine, as well as reported studies, is discussed in more detail.
引用
收藏
页码:116 / 120
页数:5
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