Henoch-Schonlein Purpura

Question 1

What is HSP

Answer 1

IgA vasculitis where inflammation occurs in the affected areas due to IgA deposits in blood vessels

Question 2

Rash in HSP

Answer 2

Purpuric rash affecting lower limbs and buttocks

Question 3

Organs affected in HSP

Answer 3

Kidneys, GI tract, Skin

Question 4

Common age for HSP

Answer 4

Common in children under 10

Question 5

What is the trigger for HSP

Answer 5

Upper airway infection or gastroenteritis

Question 6

Clinical features of HSP

Answer 6

Purpura on legs and spreads upwards, joint pain affecting knees and ankles, abdo pain, renal involvement

Question 7

Renal involvement in HSP

Answer 7

IgA nephritis, microscopic and macroscopic haematuria and proteinuria

Question 8

Diagnosis of HSP

Answer 8

Exclude other pathology, FBC and blood film, renal profile, CRP, serum ablumin, blood cultures, urine dip, urine protein:creatinine, BP, clinical signs and symptoms

Question 9

Management of HSP

Answer 9

Supportive with analgesia and fluid, steroids debatable, monitored closely with urine dipstick and BP, some patients can have reasurance

Question 10

When are complications of HSP likely to occur

Answer 10

Within the first week