Henoch-Schonlein purpura: Difference between revisions
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==Disposition== | ==Disposition== | ||
*Outpt management for most w/ rheum f/u | *Outpt management for most w/ rheum f/u | ||
==See Also== | |||
[[Pediatric Rashes]] | |||
==Source== | ==Source== | ||
Rosen's, Tintinalli | Rosen's, Tintinalli | ||
[[Category:Derm]] | |||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 21:52, 11 June 2012
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
See Also
Source
Rosen's, Tintinalli