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5 - Henoch-schonlein purpura in childhood: Clinical experience
Müjde Arapoğlu, Leyla Telhan, Gül Özçelik, Laliz Kepekçi Ela Erdem, Ayşe Palanduz
Objective: Henoch-Schonlein purpura (HSP) is a common leukocytoclastic vasculitis of childhood characterized by purpuric skin lesions, arthritis, gastrointestinal and renal involvement, Our aim was to evaluate the clinical findings of our patients with HSP.
Study Design: 75 patients diagnosed as HSP who were hospitalized in our clinic between January 2002 and April 2005 were retrospectively evaluated.
Results: Mean age of the patients (55% boys and 45% girls) were 9.3 ± 3.1. Hospitalization rates were lowest during summer seasons. All patients had palpable purpura, 78% had GIS findings, 72% had arthritis or arthralgia and 33% had renal involvement. Occult blood was present in 49%, 6.7% had acute abdominal symptoms, scalp edema was present in 5.3% and scrotal edema in 12%. Mean follow-up period for patients with renal involvement was 22.3 ± 15 months. Renal biopsy was performed in 13 patients with serios renal involvement.
Conclusion: Although the most common finding in PISP is the purpura; arthritis, renal or gastrointestinal findings may be present previously or during the, follow-up. Other, causes of vasculitis should also be included in the differential diagnosis.
Keywords: Henoch-Schönlein, purpura, child
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