A CASE REPORT OF HENOCH-SCHÖNLEIN PURPURA

Abstract

Background: Henoch-Schönlein purpura (HSP) is the most frequent leukocytoclastic systemic small-vessel vasculitis in children. HSP can present with a wide variety of clinical symptoms, from proteinuria and microscopic hematuria without any symptoms to variable degrees of acute kidney injury (AKI) and fast progressing glomerulonephritis with a high risk of long-term renal impairment. The kind and extent of organ involvement determines therapy options in more severe situations. A 12 year old Case Summary: female admitted to New Civil Hospital Surat with chief complaints of rash since 8 days. Also associated with joint and abdominal pain. Patient also gave history of cough, cold, sorethroat. Investigations done, Dermatologist opinion was taken for skin biopsy, skin biopsy showed leukocytoclastic vasculitis with IgA deposits. Patient Started on prednisolone 1mg/kg/day, Patient showed improvement with prednisolone within one week and was discharged sucessfully. It is crucial to dene the differential diagnosis w Discussion: ith other bullous diseases in childhood. Prognosis of HSP is good if there is no renal involvement. Henoch-Schönlein purpura is a Conclusion: frequent paediatric vasculitis that is multi-systemic. Although the prognosis is often quite good, some individuals may experience long-term effects, usually in the kidneys.