Pediatrics & Neonatology
Volume 50, Issue 4 , Pages 162-168 , August 2009

Clinical Manifestations and Outcomes of Henoch-Schönlein Purpura: Comparison between Adults and Children

  • Shih-Pin Hung

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
    • Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan
    • ,
  • Yao-Hsu Yang

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Yu-Tsan Lin

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Li-Chieh Wang

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Jyh-Hong Lee

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Bor-Luen Chiang

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Pediatrics, National Taiwan University Hospital, Fl. 7, No. 7, Chung-San South Road, Taipei 100, Taiwan, Republic of China

Received 17 July 2006 ,Revised 4 January 2009 ,Accepted 16 January 2009.

References 

  1. Narchi H . Risk of long term renal impairment and duration of follow up recommended for Henoch-Schonlein purpura with normal or minimal urinary findings: a systematic review . Arch Dis Child . 2005;90:916–920
  2. Fervenza FC . Update from medicine: Henoch-Schönlein purpura nephritis . Intern J Dermatol . 2003;42:170–177
  3. Saulsburry FT . Henoch-Schönlein purpura . Curr Opin Rheumatol . 2001;13:35–40
  4. Rostoker G . Schonlein-Henoch purpura in children and adults: diagnosis, pathophysiology and management . Biodrugs . 2001;15:99–138
  5. Yang YH , Hung CF , Hsu CR , et al.   A nationwide survey on epidemiological characteristics of childhood Henoch-Schönlein purpura in Taiwan . Rheumatology . 2005;44:618–622
  6. Crowson AN , Mihm MC , Magro CM . Cutaneous vasculitis: a review . J Cutan Pathol . 2003;30:161–173
  7. García-Porrúa C , Calvino MC , Liorca J , Couselo JM , González-Gay MA . Henoch-Schönlein purpura in children and adults: clinical differences in a defined population . Semin Arthritis Rheum . 2002;32:149–156
  8. Pillebout E , Thervet E , Hill G , Alberti C , Vanhille P , Nochy D . Henoch-Schönlein purpura in adults: outcome and prognostic factors . J Am Soc Nephrol . 2002;13:1271–1278
  9. Mills JA , Michel BA , Bloch DA , et al.   The American College of Rheumatology 1990 criteria for the classification of Henoch-Schönlein purpura . Arthritis Rheum . 1990;33:1114–1121
  10. Saulsbury FT . Henoch-Schönlein purpura in children report of 100 patients and review of the literature . Medicine (Baltimore) . 1999;78:395–409
  11. Coppo R , Mazzucco G , Cagnoli L , Lupo A , Schena FP . Long-term prognosis of Henoch-Schönlein nephritis in adults and children. Italian Group of Renal Immunopathology Collaborative Study on Henoch-Schönlein purpura . Nephrol Dial Transplant . 1997;12:2277–2283
  12. Allen DM , Diamond LK , Howell DA . Anaphylactoid purpura in children (Schonlein-Henoch syndrome): review with a follow-up of the renal complications . AMA J Dis Child . 1960;99:833–854
  13. Lin SJ , Huang JL . Henoch-Schönlein purpura in Chinese children and adults . Asian Pac J Allergy Immunol . 1998;16:21–25
  14. Rieu P , Noël LH . Henoch-Schönlein nephritis in children and adults. Morphological features and clinicopathological correlations . Ann Med Intern (Paris) . 1999;150:151–159
  15. Goldstein AR , White RH , Akuse R , Chantler C . Long-term follow-up of childhood Henoch-Schönlein nephritis . Lancet . 1992;339:280–282
  16. White RH . Henoch-Schönlein nephritis. A disease with significant late sequelae . Nephron . 1994;68:1–9
  17. Kawasaki Y , Suzuki J , Sakai N . Clinical and pathological features of children with Henoch-Schönlein purpura nephritis: risk factors associated with poor prognosis . Clin Nephrol . 2003;60:153–160
  18. Kobayashi O , Wada H , Okawa K , Takeyama I . Schoenlein-Henoch's syndrome in children . Contrib Nephrol . 1997;4:48–71
  19. Rigante D , Candelli M , Federico G , Bartolozzi F , Porri MG , Stabile A . Predictive factors of renal involvement or relapsing disease in children with Henoch-Schönlein purpura . Rheumatol Int . 2005;25:45–48
  20. Kaku Y , Nohara K , Honda S . Renal involvement in Henoch-Schönlein purpura: a multivariate analysis of prognostic factors . Kidney Int . 1998;53:1755–1759
  21. García-Porrúa C , González-Louzao C , Liorca J , González-Gay MA . Predictive factors for renal sequelae in adults with Henoch-Schönlein purpura . J Rheumatol . 2001;28:1019–1024
  22. Kraft DM , McKee D , Scott C . Henoch-Schönlein purpura: a review . Am Fam Physician . 1998;58:405–408 411.
  23. Habbib R , Niaudet R , Levy M . Schoenlein-Henoch purpura nephritis and IgA nephropathy . In:  Tisher CC ,  Brenner BM editor. Renal Pathology with Clinical and Functional Correlations . 2nd ed. Philadelphia: Lippincott; 1989;p. 427–523
  24. Watanabe T , Takahashi S , Nakajo S , Hamasaki M . Pathological improvement of IgA nephropathy and Henoch-Schoenlein purpura nephritis with urokinase therapy . Acta Paediatr Jpn . 1996;38:622–628
  25. Oner A , Tinaztepe K , Erdogan O . The effect of triple therapy on rapidly progressive type of Henoch-Schoenlein nephritis . Pediatr Nephrol . 1995;9:6–10
  26. García-Porrúa C , González-Gay MA . Comparative clinical and epidemiology study of hypersensitivity vasculitis versus Henoch-Schönlein purpura in adults . Semin Arthritis Rheum . 1999;28:404–412
  27. Calviño MC , Llorca J , García-Porrúa C , Fernández-Iglesias JL , Rodriguez-Ledo P , González-Gay MA . Henoch-Schönlein purpura in children from northwest Spain: a 20-year epidemiologic and clinical study . Medicine (Baltimore) . 2001;80:279–290

PII: S1875-9572(09)60056-5

doi: 10.1016/S1875-9572(09)60056-5

Pediatrics & Neonatology
Volume 50, Issue 4 , Pages 162-168 , August 2009

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