Journal
CLINICAL RHEUMATOLOGY
Volume 40, Issue 1, Pages 43-52Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s10067-020-05166-5
Keywords
Complications; Henoch-Schonlein Purpura; IgA vasculitis; Vasculitis
Categories
Funding
- Beijing Natural Science Foundation [7172076]
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Immunoglobulin A vasculitis (IgAV), also known as Henoch-Schonlein Purpura, is a common systemic vasculitis in children, presenting with palpable skin purpura, arthritis, gastrointestinal tract involvement, and kidney damage. Rare systemic manifestations include neurological symptoms, scrotal involvement, and cardiopulmonary disease. Prompt diagnosis and adequate treatment are crucial for optimal outcomes.
Immunoglobulin A vasculitis (IgAV), also known as Henoch-Schonlein Purpura, is one of the most common kind of systemic vasculitis in children, and due to the involvement of small blood vessels throughout the body, this disease can cause a variety of symptoms in different organs. Our aim was to review the data on various systemic manifestations of IgAV. A research of the literature was performed in PubMed database, utilizing the MeSH terms IgA vasculitis and Henoch Schonlein Purpura. According to the predetermined structure of the manuscript, we extracted and sorted out the relevant data. Clinically, almost all the patients will present with palpable skin purpura, together with arthritis, gastrointestinal tract involvement, or kidney damage. Other rare systemic manifestations include neurological symptoms, scrotal involvement, and cardiopulmonary disease. When uncommon complications occur, patients may be misdiagnosed as other diseases, thus delaying treatment. Although the course of IgAV is mostly self-limited, misdiagnosis can also lead to a poor prognosis. A comprehensive awareness to the clinical manifestations of IgAV is the necessary prerequisite for its timely diagnosis. Prompt diagnosis and adequate treatment are essential for optimal results.
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