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Henoch-Schonlein Purpura

Henoch-Schonlein Purpura (HSP) is an IgA mediated small-vessel vasculitis

The classical features are:
  • Purpuric rash on extensor surfaces of legs and buttocks 
  • Abdominal pain 
  • Arthralgia 
  • Haematuria often with proteinuria

Other possible features include 
  • Renal involvement 
  • Abdominal complications 
    • Bloody stools 
    • Intussuception in children 
    • Bowel ischaemia
It often follows an upper respiratory tract infection 

HSP can affect all ages but is commest in children under 10. 
Males>females, 2:1 

Treatment:
Symptomatic 
? steroids for severe HSP nephritis 


References:
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Abdelghafour

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Secret collector of interesting anonymised ECGs. Fan of the Bath Photomarathon. Lover of cream teas. [Sarah Hudson] (Your Picture)