Publication: Henoch-Schonlein purpura: Clinical manifestations and long-term outcomes in Thai children
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Issued Date
2002-11-01
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ISSN
01252208
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2-s2.0-0036881429
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.85, No.SUPPL. 4 (2002)
Suggested Citation
Wasuthida Pabunruang, Suporn Treepongkaruna, Kanchana Tangnararatchakit, Amornsri Chunharas, Pornpimon Phuapradit Henoch-Schonlein purpura: Clinical manifestations and long-term outcomes in Thai children. Journal of the Medical Association of Thailand. Vol.85, No.SUPPL. 4 (2002). Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/20314
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Title
Henoch-Schonlein purpura: Clinical manifestations and long-term outcomes in Thai children
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Abstract
The clinical features of 47 children with Henoch-Schonlein purpura (HSP) are presented. The most common ages at presentation ranged from 3-5 years. Duration of data collection was 60 months. The peak incidence was from December to February. The organ involvements included skin (100%), gastrointestinal tract (74.5%), renal (46.8%) and joint (42.6%). Renal involvement was detected within the first 2 months in 16 cases (72.7%) but was delayed until 6 months after diagnosis in 6 cases. No risk factors for renal involvement could be identified. The mean duration of follow-up was 2.6 years (range 1-5 years). Six out of 16 (37.5%) patients had residual renal diseases but none were end stage. Recurrent episodes of abdominal pain and skin purpura were found in a few cases during the first year. Overall prognosis of HSP is good and long-term morbidity is predominantly associated with renal involvement. Patients with initially normal urinalysis should have sequential urinary examination at least for 6 months.