Diferencia entre revisiones de «Henoch-Schonlein purpura»
| Línea 15: | Línea 15: | ||
**Renal disease (50%) | **Renal disease (50%) | ||
[[File:HSPVasc01.jpg|center|frame|500px|Palpable Purpura]] | [[File:HSPVasc01.jpg|center|frame|500px|Palpable Purpura]] | ||
*** Rare manifestations: | |||
**** Melena, hematemesis, hepatosplenomegaly | |||
**** Headache, seizures | |||
**** Fever | |||
**** Non-pitting edema of the extremities and face | |||
==DDx== | ==DDx== | ||
Revisión del 21:46 10 dic 2013
Background
- Most common vasculitis in childhood
- Usually affects 2-11yr
- 5% of cases are a/w intussusception (abd vasculitis)
- Renal involvement is feared complication
- 95% recover completely after 3-4wk
Diagnosis
- Tetrad:
- Palpable purpura (extremities, buttock)
- Acute abdominal pain (diffuse, colicky)
- Develops after onset of rash
- Arthritis
- Migratory, usually involves knees/ankles
- Renal disease (50%)
Palpable Purpura
- Rare manifestations:
- Melena, hematemesis, hepatosplenomegaly
- Headache, seizures
- Fever
- Non-pitting edema of the extremities and face
- Rare manifestations:
DDx
- Meningococcemia
- Erythema nodosum
- Intussusception
- Rheumatic fever
- Polyarteritis nodosa
- SLE
- RA
- Drug reaction
Work-Up
- UA
- Hematuria, proteinuria
- Chemistry
Treatment
- Supportive
- NSAIDs for pain
Disposition
- Outpt management for most w/ rheum f/u
See Also
Source
- Rosen's, Tintinalli
- Images provided by University of Iowa Dept. of Dermatology