Difference between revisions of "Henoch–Schönlein purpura"
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==Clinical features== | ==Clinical features== | ||
The classic triad is:<ref name=pmid19817340>{{Cite journal | last1 = Reamy | first1 = BV. | last2 = Williams | first2 = PM. | last3 = Lindsay | first3 = TJ. | title = Henoch-Schönlein purpura. | journal = Am Fam Physician | volume = 80 | issue = 7 | pages = 697-704 | month = Oct | year = 2009 | doi = | PMID = 19817340 | URL = http://www.aafp.org/link_out?pmid=19817340 }}</ref> | |||
#Palpable purpura. | |||
#Abdominal pain. | |||
#Arthritis. | |||
Mnemonic ''NAPA'':<ref>URL: [http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?browse=1&discipline=Rheumatology%20%2F%20Allergy http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?browse=1&discipline=Rheumatology%20%2F%20Allergy]. Accessed on: 29 April 2012.</ref> | Mnemonic ''NAPA'':<ref>URL: [http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?browse=1&discipline=Rheumatology%20%2F%20Allergy http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?browse=1&discipline=Rheumatology%20%2F%20Allergy]. Accessed on: 29 April 2012.</ref> | ||
*'''N'''ephritis. | *'''N'''ephritis. | ||
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*'''P'''alpable purpura. | *'''P'''alpable purpura. | ||
*'''A'''bdominal pain. | *'''A'''bdominal pain. | ||
Work-up - partial: | |||
*ESR - high. | |||
*Creatinine - high. | |||
*CBC - platelets should be normal or high. | |||
**Low platelets + purpura think [[thrombotic microangiopathies]] (e.g. [[TTP]], [[HUS]]). | |||
==See also== | ==See also== | ||
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==References== | ==References== | ||
{{Reflist| | {{Reflist|2}} | ||
[[Category: Cardiovascular pathology]] | [[Category: Cardiovascular pathology]] | ||
[[Category: Pediatric pathology]] | [[Category: Pediatric pathology]] | ||
[[Category: Diagnosis]] | [[Category: Diagnosis]] | ||
Latest revision as of 17:07, 30 April 2012
Henoch-Schönlein purpura, abbreviated HSP, a disease that afflicts children.
Pathologically, it can be thought of as the combination of:
Clinical features
The classic triad is:[2]
- Palpable purpura.
- Abdominal pain.
- Arthritis.
Mnemonic NAPA:[3]
- Nephritis.
- Arthralgia/arthritis.
- Palpable purpura.
- Abdominal pain.
Work-up - partial:
- ESR - high.
- Creatinine - high.
- CBC - platelets should be normal or high.
- Low platelets + purpura think thrombotic microangiopathies (e.g. TTP, HUS).
See also
References
- ↑ Kraft, DM.; Mckee, D.; Scott, C. (Aug 1998). "Henoch-Schönlein purpura: a review.". Am Fam Physician 58 (2): 405-8, 411. PMID 9713395.
- ↑ Reamy, BV.; Williams, PM.; Lindsay, TJ. (Oct 2009). "Henoch-Schönlein purpura.". Am Fam Physician 80 (7): 697-704. PMID 19817340.
- ↑ URL: http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?browse=1&discipline=Rheumatology%20%2F%20Allergy. Accessed on: 29 April 2012.