1/5. Infantile Henoch-Schonlein purpura.We present an infant with generalized palpable purpura, arthritis and fever, whose findings were atypical for classic childhood Henoch-Schonlein purpura (HSP). By describing the clinical symptoms and prognostic differences seen in infants versus school age children, we encourage physicians to be aware of infantile HSP in their differential diagnosis when they encounter a non-toxic infant with generalized purpura.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Anaphylactoid purpura: hypertension with minimal urinary abnormalities.We wish to draw attention to a case of hypertension in a child with anaphylactoid purpura, but with minimal urinary findings. Early recognition and effective antihypertensive therapy for short periods of time prevent potential complications. The wide spectrum of presentations, the epidemiological features, the diagnostic work-up and the role of the primary care physician are also reviewed.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Stenosing ureteritis in Henoch-Schonlein purpura.We report on a boy with Henoch-Schonlein purpura in whom flank pain and gross hematuria developed during the early phase of the disease. Urologic investigations revealed hydronephrosis and ureteral stenosis. Pyeloplasty was done to relieve ureteropelvic junction obstruction. Severe hemorrhagic ureteritis and vasculitis were noted on the ureteral biopsy. Recovery was slow and residual hydronephrosis persisted. Although abdominal pain usually accompanies Henoch-Schonlein purpura, colicky flank pain associated with hematuria should alert the physician to the presence of ureteritis. Recognition and early surgical treatment of this urologic complication of Henoch-Schonlein purpura may prevent a potentially serious outcome.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Henoch-Schonlein purpura: four cases and a review.Henoch-Schonlein purpura (HSP) is a common, usually self-limited, vasculitis affecting children and young adults. Manifested by a characteristic rash, the course of HSP is typically a benign one, but may be accompanied by varying degrees of abdominal pain, arthritis or arthralgia, gastrointestinal bleeding, and nephritis. The various manifestations of HSP may present at any stage during the illness and mimic other disease processes, some of which may be life threatening. Thus, the emergency physician must consider the diagnosis of HSP in order to detect complications and avoid needless intervention in what usually is an otherwise benign process. We present four cases and a brief review of the literature to highlight HSP in the differential diagnosis of patients who present with any of the typical clinical signs and symptoms.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. Henoch-Schonlein purpura.Henoch-Schonlein purpura is a small vessel vasculitic disease thought to be caused by an immunoglobulin-mediated inflammatory process resulting from immune complex reaction to antigenic stimuli. It is a relatively common disease that will be encountered in the clinical practice of most family physicians. Although it occurs most frequently in children, it can occur in all age groups. It is classically manifested by palpable purpura on the lower extremities, abdominal pain, arthritis and renal involvement. family physicians should be familiar with the disease's clinical manifestations and be aware of potentially serious complications that may affect long-term prognosis and management.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |