Diferencia entre revisiones de «Henoch-Schonlein purpura»
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==Background== | ==Background== | ||
*Most common vasculitis in childhood | |||
*Usually affects 2-11yr | *Usually affects 2-11yr | ||
*5% of cases are a/w intussusception (abd vasculitis) | *5% of cases are a/w intussusception (abd vasculitis) | ||
*Renal involvement is feared complication | *Renal involvement is feared complication | ||
*95% recover completely | *95% recover completely after 3-4wk | ||
==Diagnosis== | ==Diagnosis== | ||
* | *Tetrad: | ||
** | **Palpable purpura (extremities, buttock) | ||
**Acute abdominal pain ( | **Acute abdominal pain (diffuse, colicky) | ||
***Develops after onset of rash | ***Develops after onset of rash | ||
**Arthritis | **Arthritis | ||
***Migratory, usually involves knees/ankles | ***Migratory, usually involves knees/ankles | ||
**Renal disease (50%) | |||
==DDx== | ==DDx== | ||
Revisión del 18:25 28 jun 2011
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%)
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
Source
Rosen's, Tintinalli