Abstract

AMEAL GUIRADO, A. I.  and  MONTES SANTIAGO, J.. Henoch-Shönlein purpura in adults: a study of 9 cases. An. Med. Interna (Madrid) [online]. 2004, vol.21, n.2, pp.37-38. ISSN 0212-7199.

Objective: Schönlein-Henoch purpura (PSH) is a predominantly pediatric vasculitis with, generally, a benign prognosis. However, in adults can adquire greater severity and more frequency of renal involvement. We report our experience with 9 cases of this entity. Material and methods: Retrospective review of the leucocitoclastic vasculitis admitted to our hospital in 1995-2002. Patients fulfilling ≥3 of Michels´s criteria for PSH: a) palpable purpura; b) abdominal angina; c) gastrointestinal bleeding; d) hematuria; e) age >20 years; y f) absence of responsible medication), were identified. The incidence was 0,65 cases/100.000 inhabitants >15 years, without seasonal predominance. We identified 9 patients (7 males, age range: 22 to 88 years). There was palpable purpura in 100%, gastrointestinal involvement in 67%, renal in 78%, and oligoarticular in 22%. Recovery was uneventful, except for a case with previous renal insufficiency. Conclusions: We found a low frequency of articular involvement and high renal afectation but with an excellent prognosis.

Keywords : Henoch-Schönlein purpura; Adulthood.

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