My SciELO
Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Anales de Medicina Interna
Print version ISSN 0212-7199
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.