Acar, B Ç Sağlık Bakanlığı - Ankara Eğitim ve Arastırma Hastanesi - Pediatri Kliniği, Turkey , Arıkan, Y Sağlık Bakanlığı - Ankara Eğitim ve Arastırma Hastanesi - Pediatri Kliniği, Turkey , Arıkan, F I Sağlık Bakanlığı - Ankara Eğitim ve Arastırma Hastanesi - Pediatri Kliniği, Turkey , Dallar, Y Sağlık Bakanlığı - Ankara Eğitim ve Arastırma Hastanesi - Pediatri Kliniği, Turkey

System involvement evaluation of 168 case which is observed with henoch schönlein vasculitis in childhood

14622

Aim: Henoch Schönlein purpura (HSP) is the most common systemic vasculitis in children. Characterized by small vessel vasculitis. The aim of this study was to determine demoraphic characteristics of HSP patients.Material and Methods: The medical records of 168 children with HSP revieved retrospectiveley. They were administered to Turkish Ministry of Health Ankara Training and Research Hospital Pediatric Clinic between March 2004- December 2007 and followed up at least 6 months. Results: Among the 168 patients enrolled to the study 102 were male (%61) and 66 were female (%39). Mean age was 8.8±3.1 years. Follow up period was 6-66 months (29±17,6). All patients had purpuric skin lesions (%100) , 59 had arthritis/ artralgia, 34 had GIS, 33 had renal and 2 had testicular involvement. Patients were % 80 male who had GIS involvement. Except GIS involvement there is no relationship between sex and other system involvement (p 0,05. Patients who had GIS involvement assessed with USG and found that 5 had intestinal edema (%35), 3 had asit (%22) and 1 had right upper quadrant thickness due to hemorrhage. Among the patients who had renal involvement 12 had (%35) proteinuria less than 40 mg/m2/hour, 2 had nephrotic proteinuria and 20 patients had isolated hematuria. The most common affected joint was found to be as ankle (%73). The illness didn’t relapse in 148 of all patients, 12 had one, 5 had two, 3 patients had three reccurrences.Conclusion: In our study purpuric skin lesions are the most common symptom ,secondly arthrit and arthralgia found at patients who were following for HSP. Renal and GIS involvement found %20 of patients. Long term follow up had to be made for the patients especially who had renal involvement with routine ürinalysis for proteinuria

7

Purpura , Schoenlein , Henoch , vasculitis , gastrointestinal tract , renal involvement

Ege Journal Of Medicine

12