Dr. William Heberden, a London physician, described the first cases of Henoch- Schönlein purpura (HSP) in In describing HSP, Heberden wrote of a. Henoch-Schönlein purpura (HSP) affects the blood vessels and causes a spotty rash. It’s not usually serious, but can sometimes lead to kidney problems. Henoch–Schönlein purpura (HSP) is a disease of the skin, mucous membranes, and sometimes other organs that most commonly affects children. In the skin.

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Foreign Hemolytic disease of the newborn. Infectious triggers may include chickenpox, strep throat, measles and hepatitis. Therefore, it is very important to distinguish the difference by performing a careful evaluation including bloodwork, urinalysis, chest imaging, and possibly biopsies. These are blood pressure lowering drugs that are especially good at lowering protein leaks from the kidney and reducing the rate of decline in kidney function.

Health services and support. The cause of HSP is not yet known. Wound care is warranted if the skin death and ulcerations occur. Aralah also a small chance the kidneys could be permanently damaged chronic kidney disease.

About Vasculitis

Aspirin for prevention of blood cuts. CT of abdomen showing bowel edema. Symptoms occur over days or several weeks. Anti-inflammatory drugs such as ibuprofen are often prescribed for the schonkein pains, unless there is kidney involvement. Your doctor may recommend a drug called prednisolone. Skip to main content. Antibody deposits on the skin can confirm the diagnosis of HSP. In other projects Wikimedia Commons. Proteinuria—large amounts of protein in the urine—or development of high henohc pressure suggests more severe kidney problems.


The average duration of cutaneous lesions is Serious kidney problems don’t happen very often, but they can occur. The exact reason for these abnormalities schonleij not known. Palpable purpura can appear in many different patterns. The spots look like small bruises or blood spots.

However, all four elements of this tetrad are not required for diagnosis.

Henoch-Schonlein purpura – Symptoms, diagnosis and treatment | BMJ Best Practice

If the protein loss in the kidney is extreme, swelling of the feet and legs can occur. If there is a lot of protein leaking out, you may be asked to start a drug called an Angiotensin converting enzyme inhibitors ACE inhibitor ending in …pril, such as enalapril, ramapril or an angiotension receptor blocker ARB ending in …sartan, such as irbesartan, losartan.

Key diagnostic factors presence of risk factors arthralgias abdominal pain rash signs of renal disease Full details. Retrieved from ” https: Occurring in a more diffuse pattern. Journal of the American Society of Nephrology.

For most people, symptoms improve within a month, leaving no lasting problems. Henovh revenue supports our not-for-profit mission. These deposits can be detected using a skin biopsy, a procedure that involves taking a piece of skin tissue for examination with a microscope. The American College of Rheumatology criteria for the classification of Henoch-Schonlein purpura.

The main goal of treatment is to relieve symptoms such as joint pain, abdominal pain, and swelling. Patches scholnein the dipstick change color when blood or protein are present in urine. This is caused by inflammation and swelling of the small blood vessels in the skin. Keeping Kids Healthy Children’s rights in healthcare. William Osler was the first to recognise the underlying allergic mechanism of HSP.


If IgA gets stuck in the smaller blood vessels it causes inflammation vasculitis and this is termed IgAV. If there is doubt about the cause of the skin lesions, a biopsy of the skin may be performed to distinguish the purpura from other diseases that cause it, such as vasculitis due to cryoglobulinemia ; on microscopy the appearances are of a hypersensitivity vasculitisand immunofluorescence demonstrates IgA and C3 a protein of the complement system in the blood vessel wall.

Dedeoglu F, et al. Goodpasture’s syndrome Sneddon’s syndrome. Swelling around the hand and wrist. Steroids, however, do not appear to improve the rash; although usually, over weeks to months, hehoch recurrent bouts of purpura usually resolve on their own. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.

Henoch–Schönlein purpura – Wikipedia

The cause of HSP is unknown. The primary symptom is a rash that looks like many small raised bruises. Here they are occurring in a very dense pattern with coalescing lesions.

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