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Case Report

Henoch Schonlein Purpura

Kanchan Sakharkar, Postgraduate, Dept. of Paediatrics, PDVVPF’s Medical College, Vilad Ghat, Ahmednagar, Maharashtra 414111, India. , Kanchan Sakharkar* , Sunil N. Mhaske** , Liza Bulsara*** , R.B. Kothari****

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Indian Journal of Trauma and Emergency Pediatrics 9(2):p 59-61, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.9217.10

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Abstract

HSP is the most common childhood vasculitis, and is characterized by the classic tetrad of nonthrombocytopenic palpable purpura, arthritis or arthralgias, gastrointestinal and renal involvement. It is a systemic disease where antigen-antibody (IgA) complexes activate the alternate complement pathway, resulting in inflammation and small vessel vasculitis. Mild disease resolves spontaneously, and symptomatic treatment alone is sufficient. Systemic steroids are recommended for moderate to severe HSP. The prognosis depends upon the extent of renal involvement, which requires close followup. Early recognition of multiorgan involvement, especially outside of the typical age group, and appropriate intervention can mitigate the disease and limit organ damage. We describe a case of 6 year male with Henoch-Schonlein purpura (HSP), presenting with cutaneous and gastrointestinal manifestations

Keywords: Henochscolienpurpura; Palpable Purpura; Arthritis.

 

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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.9217.10

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