Henoch-Schonlein Purpura

Question 1

what is henoch-scholein purpura (HSP)?

Answer 1

IgA mediated small vessel vasculitis

Question 2

describe the typical patient to present with henoch-scholein purpura (HSP)?

Answer 2

children following an infection

Question 3

what are the features of henoch-scholein purpura (HSP)?

Answer 3

• palpable purpuric rash (with localised oedema) over buttocks and extensor surfaces of arms and legs
• abdominal pain
• polyarthritis
• features of IgA nephropathy

Question 4

what are the features of IgA nephropathy?

Answer 4

• haematuria
• renal failure

Question 5

what is the treatment for henoch-scholein purpura (HSP)?

Answer 5

• analgesia for arthralgia
• nephropathy = supportive

Question 6

what is the prognosis for henoch-scholein purpura (HSP)?

Answer 6

self-limiting
1/3rd of patients have a relapse

Question 7

what follow-up is required following a diagnosis of henoch-scholein purpura (HSP)?

Answer 7

monitored to detect progressive renal involvement
* blood pressure
* urinanalysis