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Henoch scholein purpura

Huiling Li, Daxing Zhao, Qi Yang
OBJECTIVE: To explore the relationship between angiotension-converting enzyme (ACE) I/D polymorphism and susceptibility to Henoch-Schönlein purpura or Henoch-Schönlein purpura nephritis (HSP/HSPN) especially among Chinese children. METHODS: The publications up to December 31, 2013 from PubMed, Embase, Google Scholar, Springer Link, Highwire, Cochrane, ISI, CNKI and Wanfang databases were searched for relevant literature on the association between ACE I/D polymorphism and pediatric HSP/HSPN...
July 8, 2014: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Jihyun Yang, Min Young Seo, Ki Tae Kim, Jun Yong Lee, Sun-Chul Kim, Myung-Gyu Kim, Sang-Kyung Jo, Won-Yong Cho, Hyoung-Kyu Kim, Nam Hee Won, Ran-Hui Cha, Eunjung Cho
Human immunodeficiency virus (HIV) infection is growing medical concern worldwide. There are many types of glomerulonephritis which are associated with HIV infection. We report a case of a 53-year-old Korean man with an HIV infection, who was developed nephritic range proteinuria and purpura with elevated IgA level rasing a possibility of Henoch-Schölein Purpura (H-S purpura). However, renal biopsy showed "lupus-like feature" glomerulonephritis without clinical or serologic evidence of systemic lupus erythematosus...
2014: International Journal of Clinical and Experimental Pathology
Sung Eun Park, Jun Ho Lee
UNLABELLED: Henoch-Schönlein purpura (HSP) is the most common vasculitis in children and is characterized by cutaneous purpura, arthritis, abdominal pain and nephritis. We report a case involving a 3-year-old girl with HSP who displayed rapidly evolving haemorrhagic bullae from primary purpuric lesions during systemic corticosteroid therapy. CONCLUSION: The bullae disappeared within 7 days of systemic corticosteroid therapy, although some scarring of the skin occurred...
December 2011: Acta Paediatrica
Michael J Goodman, James D Nordin, Edward A Belongia, John P Mullooly, James Baggs
BACKGROUND: We describe here a case of Henoch-Schönlein purpura (HSP) that occurred 10 days after administration of the meningococcal polysaccharide vaccine and came to the attention of a Vaccine Safety Datalink (VSD) investigator (but did not occur in the VSD cohort). Periodic case reports have linked vaccines to HSP. OBJECTIVE: To better understand the potential risk for HSP after immunization with the meningococcal polysaccharide vaccine. PATIENTS AND METHODS: We studied the VSD cohort to estimate the 42-day postvaccination incidence rate of HSP in the VSD population 16 to 20 years of age...
August 2010: Pediatrics
Nana Nakayama, Shinji Nagata, Rie Kawase, Yuki Ishida, Takayasu Kuwabara, Takako Tsumura, Shigeru Kimura, Keiji Tsuji, Hiroaki Ogoshi, Mayumi Kaneko, Toru Hidaka
We report a 11-year-old girl who had abdominal pain, hematemesis and melena. On admission, endoscopy revealed multiple duodenal ulcers and abdominal computed tomography showed dilatation and wall thickness of the jejunum. Because she showed purpura on the lower extremities and a decreased serum level of the XIII factor, she was diagnosed as having Henoch-Schönlein purpura (HSP). On the clinical course, she had acute pancreatitis. Following administration of XIII factor, nafamostal mesilate and predonisolone, the abdominal pain disappeared...
February 2009: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
Seniz Ergin, Berna Sanli Erdoğan, Hüseyin Turgut, Deniz Evliyaoğlu, Ata Nevzat Yalçin
Henoch-Schölein purpura is usually a disease of children presenting with arthralgia, abdominal pain, renal involvement, and palpable purpura. Viral and bacterial infections may have a role in its etiology. We present a 32-year-old male patient with recurrent Henoch-Schölein purpura in association with a chronic hepatitis B infection of ten years duration. The patient had received lamuvidine and interferon-alpha for the treatment of hepatitis B infection for a year. The skin lesions disappeared with the treatment of the hepatitis B infection...
October 2005: Journal of Dermatology
C Aebi
Distinguishing in febrile children between harmless rashes and those, which require specific action, is a common problem in pediatric primary care. Major exanthematous diseases necessitating emergency hospitalization include invasive meningococcal disease and rarely gram-negative septicaemia caused by other pathogens, staphylococcal and streptococcal toxic shock syndrome, endocarditis, fever and rash in travellers returning from tropical countries and drug hypersensitivity syndrome. Therapeutic intervention is also necessary in patients with scarlet fever, rheumatic fever, varicella in postpuberal and immunocompromised individuals, in Kawasaki's disease, in Still's disease and in other non-infectious, inflammatory diseases (e...
August 2005: Therapeutische Umschau. Revue Thérapeutique
A Watanabe, T Kakihara, M Hara, A Tanaka, K Kanno, C Imai, Y Ikarashi, S Okubo, T Yanagihara, M Uchiyama
BACKGROUND: To better understand the mechanisms of glomerular epithelial cell (GEC) injuries in various diseases, we compared GEC excreted during chemotherapy (antineoplastic drugs) and GEC excreted in renal diseases. METHODS: For 19 patients undergoing chemotherapy (85 courses), 69 patients with IgA nephropathy and 16 patients with Henoch-Schölein purpura nephritis, the number of excreted GEC and GEC casts were counted by an immunofluorescent study. The morphological features of GEC were also studied in an immunofluorescent study combined with Hoechst stain...
December 2001: Pediatrics International: Official Journal of the Japan Pediatric Society
S Nosaka
Acute pediatric abdomen is a very common clinical problem. Clinical and laboratory findings, however, are nonspecific or confusing in many instances. This review article focuses on strategy in diagnosing acute pediatric abdomen. A variety of diseases such as appendicitis, gastroenteritis, mesenteric adenitis, intestinal intussusception, Henoch-Schölein purpura, Crohn's disease, Meckel's diverticulitis, duodenal ulcer, congenital biliary dilatation, ovarian torsion, and anomaly of the internal genitalia are discussed in this article...
January 2000: Nihon Igaku Hōshasen Gakkai Zasshi. Nippon Acta Radiologica
I S Szer
The joint pain, inflammation, and painful cutaneous edema of Henoch-Schölein purpura (HSP) are effectively treated with analgesics, nonsteroidal anti-inflammatory agents, and corticosteroids, but the optimal management of HSP-associated gastrointestinal and renal involvement has not yet been determined. The results of mostly anecdotal and uncontrolled studies favor a short course of oral corticosteroids for severe abdominal pain and aggressive immunosuppressive therapy for patients with progressive HSP nephritis...
May 1999: Cleveland Clinic Journal of Medicine
S Kohsokabe, J Fujita, M Tanaka, T Imai, J Fukuda
A 86 year-old woman was re-admitted because of purpura of her upper and lower extremities, abdominal pain and blood stools. Seven weeks previously, she underwent a gastrectomy for gastric cancer. After re-admission, proteinuria and hematuria were noted, and the serum creatinine level increased. Two months, after the onset of purpura, she died of pneumonia. On autopsy examination, fibrinoid vasculitis of acute inflammatory stage (II) at small arteries and/or arterioles in the bladder, rectum, lungs, spleen and crescentic glomerulonephritis without immune deposits were observed...
December 1995: Ryūmachi. [Rheumatism]
B Roche, M Blazquez, A Charlier, J C Bognel
The authors report three cases of Scholein-Henoch's purpura in adults which were characterized by atypical severity of the digestive signs which led to laparotomy. In one case, the digestive signs preceded the onset of the cutaneous purpura, which made the diagnosis difficult. The digestive impact was confirmed endoscopically (petechia, ulceration, ulcerated stenosis) in two of the three patients. Damage of the small intestine predominated, as in the literature, but only one patient required resection of the intestine...
January 1994: Annales de Gastroentérologie et D'hépatologie
Y Minohara
Human parvovirus B19 (B19) has been shown to be the cause of erthema infectiousum (EI). Recently the various clinical manifestations with B19 infection are coming to light. The relationship between B19 and anaphylactoid purpura (Schölein-Henoch purpura: SHP) was investigated in a retrospective study. There were sixteen patients (male 9, female 7, average age 6.0 +/- 1.7) who were diagnosed as SHP. Serum specimens were used in the present study. Specific IgM and IgG were assayed by enzyme immunoassay, B19 DNA was assayed by polymerase chain reaction (PCR)...
August 1995: Kansenshōgaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
S O'Regan, P Robitaille
Henoch-Schönlein's purpura is a systemic vasculitis involving mainly skin, joints, intestine and kidney. We report on 2 patients who presented with clinical signs and symptoms suggestive of testicular torsion. In 1 case purpuric areas after leg cast removal indicated a diagnosis of Henoch-Schölein's purpura. Surgical exploration of the other case revealed congestion of the hydatid of Morgagni, which was followed by typical systemic manifestations of Henoch-Schönlein's purpura. These and another case indicate that orchitis accompanying Henoch-Schönlein's purpura may mimic testicular torsion...
December 1981: Journal of Urology
M Morichau-Beauchant, G Touchard, P Maire, M Briaud, P Babin, D Alcalay, C Matuchansky
An adult male patient with Henoch-Schônlein purpura and severe intestinal involvement is reported. Henoch-Schönlein purpura was documented by microscopic and immunofluorescent studies of the skin and kidney. At duodenojejunoscopy there were multiple ulcerations and thickening of mucosal folds. Microscopic and immunofluorescent studies of duodenum and proximal jejunum showed submucosal vasculitis and granular deposits of immunoglobulin A and complement components (C3) in the vessel walls, similar to those observed in the skin and kidney...
June 1982: Gastroenterology
L Szewczyk
No abstract text is available yet for this article.
June 1974: Pediatria Polska
S Kalowski, P Kincaid-Smith
No abstract text is available yet for this article.
1973: Perspectives in Nephrology and Hypertension
O Koskimies, J Rapola, E Savilahti, J Vilska
No abstract text is available yet for this article.
May 1974: Acta Paediatrica Scandinavica
K Fujita, K Murono, M Yoshikawa, H Sakata, S Maruyama, M Saijyo, M Takimoto, Y Takahashi, F Inyaku, Y Kusunoki
We determined the characteristics of group A streptococci isolated from 29 sporadic cases with non-suppurative complication or severe infection during a 15-year period from 1977 to 1991. The clinical diagnoses of children included 4 patients with rheumatic fever, 2 with reactive arthritis, 2 with central nervous system complication, 5 with glomerulonephritis, 11 with Honoch-Schölein purpura, 4 with sepsis and 1 with empyema. Twenty-four strains were isolated from throat swabs, 4 from blood specimens and one from pleural fluid...
November 1992: Kansenshōgaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
S L McNairy, J L Millns, R L Phyliky, R S Rogers
Henoch-Schönlein purpura is classically described as a systemic vasculitis without known platelet or clotting abnormality. A 15-year-old boy with Henoch-Schönlein purpura experienced a major hemorrhagic diathesis that was responsive to parenterally administered vitamin K. We believe that the gastrointestinal vasculitis prevented the absorption of available vitamin K necessary for the synthesis of clotting factors. Early treatment with parenteral vitamin K in similar cases should be considered.
November 1977: Mayo Clinic Proceedings
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