Clinical Study on Henoch-Schoenlein Purpura.
- Author:
Seong HO
1
;
Jong San KIM
;
Esook OH
;
Keun Chan SOHN
Author Information
1. Department of Pediatrics, National Medical Center, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Abdominal Pain;
Ankle;
Arthralgia;
Elbow;
Exanthema;
Female;
Hematuria;
Humans;
Incidence;
Joints;
Knee;
Lower Extremity;
Male;
Nephritis;
Proteinuria;
Purpura;
Purpura, Schoenlein-Henoch*;
Respiratory Tract Infections;
Seasons;
Wrist
- From:Journal of the Korean Pediatric Society
1978;21(2):121-129
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical study on the 41 cases of Henock-Schoenlein purpura in infancy and childhood was made. The results are as followings. 1) The cases were seen mostly in the age group of 4 to 10 yr (63.5%), with the peak incidence in 6~10 yr age group(44%). 2) Males were more affected than females with the Male to Female ratio of 2:1. 3) The peak seasonal incidence was seen in spring with 15 cases (37%) and Winter was in the second place with 12 cases (29%). 4) The previous history of the upper respiratory tract infection was present in 17 cases (41%). 5) The main clinical manifestations were skin rash (100.0%), abdominal pain (73%), nephritis (46%) and joint pain (39%) in order. 6) The most common type of skin rash in Henock-Schoenlein purpura and urticarial wheal with erythematous rash (73%) on the lower extremities. 7) In gastointestinal manifestation of Henock-Schoenlein purpura, abdominal pain was noted in all cases (100%) and next is was vomitting (37%). 8) Joints most often involved were the knee (94%) and ankle (44%) joints and the wrists (31%) and elbow (13%) joints subsequently. 9) The renal manifestation of Henock-Schoenlein purpura was the most serious sign. Proteinuria and micro and gross hematuria were seen in all cases (100%) with renal mvoluement. 10) The Anti-streptolysin O titer was increased in 8 cases (28.5%).