ADULT ONSET HENOCH: SCHONLEIN PURPURA – AN UNUSUAL PRESENTATION

Authors

  • SRUJITH CHANDRAKANTHI Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.
  • Oshin Mantro Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.
  • Jagadeesan Mohanan Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.
  • MERVIN KAYIPARAMBIL SOMAN Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.
  • Prasanna Karthik Suthakaran Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.
  • Kannan Rajendran Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

DOI:

https://doi.org/10.22159/ajpcr.2017.v10i10.20007

Keywords:

Henoch schonlein purpura, Leucocytoclastic vasculitis, Palpable purpura, Adult HSP

Abstract

 

 Henoch–Schonlein purpura (HSP) is a common leukocytoclastic vasculitis seen in children. However, it is uncommon in adults. HSP is characterized by the classic tetrad of non-thrombocytopenic palpable purpura, arthritis or arthralgias, gastrointestinal, and renal involvement. We report a rare case of adult onset HSP with multi-organ involvement. Early recognition of multi-organ involvement is very important, especially in adults.

Downloads

Download data is not yet available.

Author Biographies

SRUJITH CHANDRAKANTHI, Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

Resident

Department of General Medicine

Oshin Mantro, Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

Resident

Department of General Medicine

Jagadeesan Mohanan, Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

Assistant Professor,

Department of General Medicine

MERVIN KAYIPARAMBIL SOMAN, Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

Assistant Professor,

Department of General Medicine

Prasanna Karthik Suthakaran, Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

Associate Professor

Department of General Medicine

Kannan Rajendran, Department of General Medicine, Saveetha Medical College Hospital, Saveetha University, Chennai, Tamil Nadu, India.

Professor,

Department of General Medicine

References

Lane SE, Watts R, Scott DG. Epidemiology of systemic vasculitis. Curr Rheumatol Rep 2005;7(4):270-5.

Chen KR, Carlson JA. Clinical approach to cutaneous vasculitis. Am J Clin Dermatol 2008;9(2):71-92.

Vogler C, Eliason SC, Wood EG. Glomerular membranopathy in children with IgA nephropathy and Henoch Schönlein purpura. Pediatr Dev Pathol 1999;2(3):227-35.

Ozen S, Ruperto N, Dillon MJ, Bagga A, Barron K, Davin JC, et al. EULAR/PReS endorsed consensus criteria for the classification of childhood vasculitides. Ann Rheum Dis 2006;65(7):936-41.

Pillebout E, Thervet E, Hill G, Alberti C, Vanhille P, Nochy D. Henoch-Schönlein purpura in adults: Outcome and prognostic factors. J Am Soc Nephrol 2002;13(5):1271-8.

Kapoor KG, Bekaii-Saab T. Warfarin-induced allergic interstitial nephritis and leucocytoclastic vasculitis. Intern Med J 2008;38(4):281-3.

Calvo-Río V, Loricera J, Mata C, Martín L, Ortiz-Sanjuán F, Alvarez L, et al. Henoch-Schönlein purpura in Northern Spain: Clinical spectrum of the disease in 417 patients from a single center. Medicine (Baltimore) 2014;93(2):106-13.

Blanco R, Martínez-Taboada VM, Rodríguez-Valverde V, García-Fuentes M, González-Gay MA. Henoch-Schönlein purpura in adulthood and childhood: Two different expressions of the same syndrome. Arthritis Rheum 1997;40(5):859-64.

Ronkainen J, Koskimies O, Ala-Houhala M, Antikainen M, Merenmies J, Rajantie J, et al. Early prednisone therapy in Henoch-Schönlein purpura: A randomized, double-blind, placebo-controlled trial. J Pediatr 2006;149(2):241-7.

Zaffanello M, Fanos V. Treatment-based literature of Henoch-Schönlein purpura nephritis in childhood. Pediatr Nephrol 2009;24(10):1901-11.

Published

01-10-2017

How to Cite

CHANDRAKANTHI, S. ., O. Mantro, J. Mohanan, M. K. SOMAN, P. K. Suthakaran, and K. Rajendran. “ADULT ONSET HENOCH: SCHONLEIN PURPURA – AN UNUSUAL PRESENTATION”. Asian Journal of Pharmaceutical and Clinical Research, vol. 10, no. 10, Oct. 2017, pp. 2-3, doi:10.22159/ajpcr.2017.v10i10.20007.

Issue

Vol 10 Issue 10 October 2017

Section

Case Study(s)

The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.

Crossref
Scopus
Google Scholar
Europe PMC