Henoch-Schönlein purpura

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在2018年3月14日 (三) 09:48所做的修訂版本 (編輯) Guhjy (對話 | 貢獻) (新頁面: *Clinical features **Young (<20 y/o), palpable purpura, abdominal pain, GI bleeding, arthropathy, fever, fatigue, ~IgA &uarr; (50% p’ts), hematuria, proteinuria, macroscopic hematuria i...) ←上一個

當前修訂版本 (2018年3月14日 (三) 09:48) (編輯) (撤銷) Guhjy (對話 | 貢獻) (新頁面: *Clinical features **Young (<20 y/o), palpable purpura, abdominal pain, GI bleeding, arthropathy, fever, fatigue, ~IgA &uarr; (50% p’ts), hematuria, proteinuria, macroscopic hematuria i...)

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當前修訂版本

• Clinical features
  • Young (<20 y/o), palpable purpura, abdominal pain, GI bleeding, arthropathy, fever, fatigue, ~IgA ↑ (50% p’ts), hematuria, proteinuria, macroscopic hematuria immediately after URI in children, NS (uncommon)
  • GN is very similar to ~IgA nephropathy
  • Skin: Leukocytoclastic vasculitis, dermal ~IgA deposits
• Kidney biopsy is indicated only for p’ts with marked proteinuria or renal failure
• Treatment
  • Similar to ~IgAN
  • Corticosteroids or cytotoxics for RPGN
• Prognosis
  • Good (esp. in children), chronic renal failure & hypertension (rare)
• References of Henoch-Schönlein purpura