STUDY OF 123 HENOCH-SCHONLEINPURPURA CASES IN MOFID HOSPITAL, TEHRAN, 1991-2001

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MATINI E.; MARKAZI MOGHADAM N.; PIROUZ B.

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Journal: Annals of Military and Health Sciences Research Year:2003 | Volume:1 | Issue:1 (SERIAL NUMBER 1) Page(s): 49-53

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Title

STUDY OF 123 HENOCH-SCHONLEINPURPURA CASES IN MOFID HOSPITAL, TEHRAN, 1991-2001

Author(s)

MATINI E. | MARKAZI MOGHADAM N. | PIROUZ B. | Issue Writer Certificate

Keywords

DIAGNOSISQ4

EPIDEMIOLOGYQ3

HENOCH-SCHONLEIN PURPURA SYNDROMEQ4

Abstract

Background: HENOCH-SCHONLEIN PURPURA SYNDROME is characterized by multi-system involvement the DIAGNOSIS is made clinically, thus misDIAGNOSIS could occur and may lead to unnecessary laparatomy. The present study was conducted to determine the dinical manifestations and demographic characteristics of Henoch-Schonle in purpura syndrome. We included all infants hospitalized in Mofid Hospital in Tehran during, 1991-2001.Materials and methods: It was an existing data type study. 123 children aged <12 years who had definite DIAGNOSIS of Henoch-Schonlein purpurasyndrome were included. Initialdata including age, sex, time of referral (year, season), chief complaint, clinical manifestations, organ involvement, cutaneous lessions location and ESR were all recorded.Results: Results have revealed that male to female ratio was 1.6 Subjects aged 3-9 years were more commonly affected. (Mean of age was 6.9±2.8 years) Nearly half of the patients (54%) were referred during the winter. Previous history of upper respiratory infection was reported in 69.9%.The most frequent chief complaints were abdominal pain and other GI-related symptoms (61%), cutaneous lesions (44.7%), and joint involvement (32.5%). The most common signs were cutaneous lesions (100%), GI problems (73.3%),and joint involvement (66.7%). Diagnostic triad of abdominal colicky pain arthropathy, and cutaneous lesions were observed in 43.9% of subjects. Abdominal colicky pain (96.7%) and nausea and vomiting (48.4%) were the most common GI signs. Pupura (69.9%) and petechia (46.4%) were the most common coetaneous lesions. Joint involvement was more prevalent in lower limbs (84.2%). Kidney involvement was manifested as microscopic hematuria (38.2%) and proteinuria (18.7%).Occult blood was detected in 42.3% of the subjects. 0.8% were complicated by intestinal invagination.Conclusion: Abdominal colicky pain was the most common sign in our patients. Since the diagnostic triad of "abdominal colicky pain, arthropathy, and cutaneous lesions were found less frequent than other studies. The probability of unnecessary laparatomy would increase. Thus, if a boy, aged 3-8 years, had referred by abdominal pain, the cutaneouslesions of lower limbs and Henoch-Schonlein purpur a syndrome should be ruled out.

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APA: Copy

MATINI, E., MARKAZI MOGHADAM, N., & PIROUZ, B.. (2003). STUDY OF 123 HENOCH-SCHONLEINPURPURA CASES IN MOFID HOSPITAL, TEHRAN, 1991-2001. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH, 1(1 (SERIAL NUMBER 1)), 49-53. SID. https://sid.ir/paper/96517/en

Vancouver: Copy

MATINI E., MARKAZI MOGHADAM N., PIROUZ B.. STUDY OF 123 HENOCH-SCHONLEINPURPURA CASES IN MOFID HOSPITAL, TEHRAN, 1991-2001. ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH[Internet]. 2003;1(1 (SERIAL NUMBER 1)):49-53. Available from: https://sid.ir/paper/96517/en

IEEE: Copy

E. MATINI, N. MARKAZI MOGHADAM, and B. PIROUZ, “STUDY OF 123 HENOCH-SCHONLEINPURPURA CASES IN MOFID HOSPITAL, TEHRAN, 1991-2001,” ANNALS OF MILITARY AND HEALTH SCIENCES RESEARCH, vol. 1, no. 1 (SERIAL NUMBER 1), pp. 49–53, 2003, [Online]. Available: https://sid.ir/paper/96517/en

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