Clin Dermatol 2017 Jan - Feb;35(1):68-80. Epub 2016 Sep 10.

Department of Dermatology and Venereology, Tokuda Hospital Sofia, Sofia, Bulgaria.

Purpuric lesions appear in acral distribution in a variety of conditions and often provide clues to the clinical diagnosis. Purpuric means "hemorrhagic"-that is, the lesions do not blanch from pressure. This review focuses on dermatoses that produce hemorrhagic lesions in acral distribution from the large groups of the vasculitic diseases and their mimics. Read More

BMJ Case Rep 2016 Nov 11;2016. Epub 2016 Nov 11.

Department of Urology, Maxima Medisch Centrum, Eindhoven, The Netherlands.

The Henoch-Schönlein purpura (HSP) is a systemic vasculitis that mostly occurs in children. Besides the most common clinical manifestations such as palpable purpura, arthralgia, abdominal pain and renal disease, it can have urological manifestations. We report a rare case of a 2-year-old boy with the HSP who developed a testicular torsion under corticosteroid treatment. Read More

An Bras Dermatol 2016 Sep-Oct;91(5):667-669

Universidade Federal de Mato Grosso do Sul (UFMS) - Campo Grande (MS), Brazil.

The Henoch-Schönlein purpura is the vasculitis associated with deposits of immunoglobulin A in small vessels. Its association with cytoplasmic antineutrophil cytoplasmic antibodies is possible, but rare. This vasculitis is uncommon in adults and the main clinic manifestations are purpuric lesions in lower limbs with gastrointestinal symptoms and renal involvement. Read More

Clin J Am Soc Nephrol 2017 Jan 7;12(1):39-49. Epub 2016 Nov 7.

Department of Pathology, and.

Background And Objectives: Staphylococcus infection-associated GN (SAGN) is a well recognized disease entity, particularly because of the frequent IgA-dominant glomerular immunoglobulin staining on kidney biopsy. Biopsy features can resemble two other disease entities - primary IgA nephropathy and Henoch-Schönlein purpura nephritis - posing a diagnostic pitfall. This is clinically relevant because of the crucial difference in the therapeutic approach. Read More

Arch Dermatol Res 2017 Jan 21;309(1):21-30. Epub 2016 Oct 21.

Key Laboratory of Human Diseases Comparative Medicine, Ministry of Health, Beijing, People's Republic of China.

Henoch-Schönlein purpura (HSP) is a systemic vasculitis mediated by autologous immune complex. Animal models of HSP are scarce. Here, we describe the characteristics of HSP rabbit model in the acute and recovery phase. Read More

J Huazhong Univ Sci Technolog Med Sci 2016 Oct 18;36(5):659-666. Epub 2016 Oct 18.

Department of Nephrology, the First Hospital of Jilin University, Changchun, 130021, China.

We aimed to investigate the differences in renal histopathological changes and laboratory parameters between adult and pediatric patients with Henoch-Schönlein purpura nephritis (HSPN), and to analyze the correlation between laboratory parameters and renal histopathological grading. A total of 139 patients diagnosed with HSPN between September 2010 and December 2014 at the First Hospital of Jilin University, China, were retrospectively reviewed. The clinical and pathological characteristics were examined and compared between the adult and the pediatric patients. Read More

Zhongguo Dang Dai Er Ke Za Zhi 2016 Oct;18(10):988-990

Department of Pediatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.

Objective: To study the clinical effect of high-dose gamma globulin pulse therapy for abdominal Henoch-Schönlein purpura (HSP).

Methods: Thirty-three children with abdominal HSP were randomly assigned to dexamethasone group (15 children) and gamma globulin group (18 children). The children in the dexamethasone group were treated with dexamethasone and conventional treatment, and those in the gamma globulin group were treated with high-dose gamma globulin pulse therapy in addition to the conventional treatment. Read More

CMAJ 2016 Oct 18;188(15):E393. Epub 2016 Jul 18.

Department of Dermatology and Skin Science (Guo), University of British Columbia; Departments of Pediatrics and Dermatology (Lam), University of British Columbia, Vancouver, BC.

Chin Med J (Engl) 2016 10;129(20):2510-2511

Department of Pancreas Center, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.

J Gastrointestin Liver Dis 2016 Sep;25(3):411

Department of Hematology, Ion Chiricuta Oncology Institute, Cluj Napoca, Romania.

J Infect Chemother 2017 Mar 25;23(3):180-184. Epub 2016 Sep 25.

Division of Infectious Disease, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA, USA.

Intravenous vancomycin is a widely used antibiotics, but it causes different types of cutaneous hypersensitivity reactions, ranging from maculopapular rash, red-man syndrome, drug rash with eosinophilia and systemic symptoms, IgA bullous dermatosis, leukocytoclastic vasculitis, Stevens-Johnsons syndrome, to IgE-mediated anaphylaxis. We report an elderly patient with the end-stage renal disease presented with diffuse palpable purpura while receiving IV vancomycin therapy for methicillin-resistant Staphylococcus aureus septicemia. Histopathology of skin biopsy revealed perivascular infiltrates of leukocytoclastic debris with necrosis of the small-sized blood vessels. Read More

Dermatol Online J 2016 08 15;22(8). Epub 2016 Aug 15.

Department of Pathology, Weill Cornell Medicine, New York.

Henoch-Schonlein purpura is an immunoglobulin A (IgA)-immune complex mediated leukocytoclastic vasculitis that classically manifests with palpable purpura, abdominal pain, arthritis, and hematuria or proteinuria. The condition is much more predominant in children (90% of cases) and commonly follows an upper respiratory infection. We present a case of recurrent Henoch-Schonlein purpura (HSP) complicated by nephritis in an adult female initially categorized as IgA nephropathy (IgAN). Read More

Medicina (B Aires) 2016;76(4):245-8

Centro Sanatorio Delta, Rosario, Santa Fe, Argentina.

The Henoch-Schönlein purpura (HSP) is a small vessel vasculitis with IgA immune complex deposition. The presentation in adults is rare and severe. Reported cases of HSP in patients infected with HIV are scarce. Read More

Int Immunopharmacol 2016 Oct 3;39:246-50. Epub 2016 Aug 3.

Pediatric Research Institute, Qilu Children's Hospital of Shandong University, Ji'nan 250022, China. Electronic address:

Background: Midkine (MK) is a heparin-binding growth factor, which behaves like a cytokine, involved in various cellular processes such as cellular proliferation, differentiation, survival, adhesion, and migration. Studies provided evidence for a role of MK in acute and chronic inflammatory processes. The association between midkine and Henoch-Schönlein purpura (HSP) has not yet been explored. Read More

World J Gastroenterol 2016 Jul;22(26):6089-94

Butsabong Lerkvaleekul, Soamarat Vilaiyuk, Division of Rheumatology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Henoch-Schönlein purpura (HSP) is generally a self-limited vasculitis disease and has a good prognosis. We report a 4-year-old Thai boy who presented with palpable purpura, abdominal colicky pain, seizure, and eventually developed intestinal ischemia and perforation despite adequate treatment, including corticosteroid and intravenous immunoglobulin therapy. Imaging modalities, including ultrasonography and contrast-enhanced computed tomography, could not detect intestinal ischemia prior to perforation. Read More

Clin Rheumatol 2016 Nov 27;35(11):2847-2850. Epub 2016 Jul 27.

Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Mazowiecka 6/8, 92-215, Lodz, Poland.

Henoch-Schonlein purpura (HSP) is a generalized form of IgA-mediated vasculitis that usually spares pulmonary circulation. Nevertheless, it is conceivable that subclinical changes at the HSP onset may lead to lung impairment in the long term. Therefore, we decided to follow a group of HSP patients for 4 years to monitor changes in pulmonary function. Read More

Vojnosanit Pregl 2016 May;73(5):491-5

Introduction: Henoch-Schönlein purpura (HSP) is a small blood vessel vasculitis, which usually manifests during childhood. The exact cause of the disease is unknown.

Case Report: We reported a 14-year-old girl who had been admitted to our clinic due to the appearance of red macules on her extremities and face, vomiting, and pain in the abdomen and joints. Read More

Medicine (Baltimore) 2016 Jul;95(28):e4217

aDivision of Rheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria bDivision of Internal Medicine, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria cDivision of Pathology, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria dDivision of Pediatrics, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria eDivision of Dermatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, University of Cantabria, Santander, Spain.

To further investigate into the relapses of Henoch-Schönlein purpura (HSP), we analyzed the frequency, clinical features, and predictors of relapses in series of 417 unselected patients from a single center. After a median follow-up of 12 (interquartile range [IQR]: 2-38) years, almost one-third of the 417 patients (n = 133; 32%; 85 men/48 women) had experienced at least 1 relapse. At the time of disease diagnosis, patients who later experienced relapses had less commonly infections than those who never suffered flares (30. Read More

Iran J Allergy Asthma Immunol 2016 Jun;15(3):237-43

Department of Clinical Laboratory, Children's Hospital of Zhejiang University, School of Medicine, Hangzhou, PR China.

Henoch-Schönlein purpura (HSP), a common allergic hemorrhagic disease, occurs frequently in children affecting kidney, joint and skin. While interleukin-8 (IL-8) plays an important role in inflammation, the association between IL-8 gene +781 C/T polymorphism and HSP remains unclear. Interleukin-8, an important chemokine related to the initiation and amplification of acute inflammatory responses, has been reported to be involved in the pathogenesis of some autoimmune and inflammatory diseases. Read More

Zhongguo Dang Dai Er Ke Za Zhi 2016 Jul;18(7):625-9

Department of Rheumatology, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200127, China.

Objective: To investigate the presence of Cosmc gene mutation in children with Henoch-Schönlein purpura (HSP) and the association between Cosmc gene mutation and the susceptibility to HSP.

Mesults: Eighty-four children who were diagnosed with HSP between March 2014 and December 2015 were selected as the HSP group. Fifty-eight healthy volunteers matched for age and sex were enrolled as the control group. Read More

Pol Merkur Lekarski 2016 Jun;40(240):377-9

Department of Pediatrics and Nephrology, Medical University of Warsaw.

Unlabelled: Henoch-Schönlein purpura (HSP) is the most common pediatric autoimmune vasculitis. Gastrointestinal symptoms of HSP including abdominal pain, diarrhea, and vomiting may precede skin changes by several days. We present diagnostic challenges in two adolescents with HSP and severe abdominal symptoms necessitating surgical intervention before the development of skin changes. Read More

J Med Assoc Thai 2016 Apr;99(4):441-5

Henoch-Schönlein purpura (HSP) is a multi-organ vasculitis involving skin, joints, gastrointestinal tract, and kidneys. The present study reported a 5-year-old boy presenting with intense abdominal pain, bloody diarrhea, and protein-losing enteropathy. Investigations for infectious enteritis were negative. Read More

Pediatr Rheumatol Online J 2016 Jun 23;14(1):37. Epub 2016 Jun 23.

Department of Pediatrics, Division of Rheumatology, Washington University School of Medicine, One Children's Place, Campus Box 8116, St. Louis, MO, 63110, USA.

Background: A small percentage of children with Henoch-Schönlein purpura (HSP) develop a chronic form of the disease that often requires prolonged corticosteroid therapy. Disease modifying anti-rheumatic agents (DMARDs) or biologics have been successfully used to treat those refractory cases. Azathioprine is a DMARD that has been reported to be effective in HSP nephritis and in adult cutaneous leukocytoclastic vasculitis, a condition with cutaneous histology similar to HSP. Read More

Zhongguo Dang Dai Er Ke Za Zhi 2016 Jun;18(6):517-21

Department of Pediatrics, First Affiliated Hospital of Kunming Medical University, Kunming 650032, China.

Objective: To investigate the changes and clinical significance of biomarker fecal bile acids (BA) in children with Henoch-Schönlein purpura (HSP).

Methods: Nineteen children with HSP and twenty-seven healthy children were enrolled in this study. The stool samples were obtained at the acute and remission phases. Read More

Genet Mol Res 2016 Jun 3;15(2). Epub 2016 Jun 3.

Department of Gastroenterology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Henoch-Schönlein purpura nephritis (HSPN), the most serious long-term complication of Henoch-Schönlein purpura, is one of the most common renal diseases in children. Matrix metalloproteinase-9 (MMP-9) is implicated in the pathogenesis of renal diseases. Genomic DNA was isolated from the venous blood leukocytes of 220 unrelated patients with HSPN and 205 unrelated healthy individuals. Read More

J Gastrointestin Liver Dis 2016 Jun;25(2):235-8

Gr. T. Popa University of Medicine and Pharmacy;St. Spiridon Emergency Hospital, Institute of Gastroenterology and Hepatology, Iasi, Romania.

Immunoglobulin A (IgA) vasculitis, formerly called Henoch-Schönlein purpura, is a leukocytoclastic type of vasculitis affecting small vessels with a deposition of immune IgA complexes, clinically characterized by the classic tetrad of nonthrombocytopenic palpable purpura, arthralgia (or arthritis), and gastrointestinal and renal involvement. Although the cause of the disease remains unknown, immune complexes of IgA and unidentified antigens seem to play a central pathogenic role. The diagnosis is easily established in the presence of purpura, but may be challenging in its absence, especially when colicky abdominal pain precedes the cutaneous lesions. Read More

Pediatr Dermatol 2016 Jul 10;33(4):e249-51. Epub 2016 Jun 10.

Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Koebner's phenomenon occurs rarely in connection with Henoch-Schönlein purpura (HSP). We report two children with HSP who developed Koebner's phenomenon on the second day after the onset of rash. The first was an 11-year-old girl with rheumatic heart disease who presented with abdominal pain for 1 month and subsequently developed rash and nephritis. Read More

J Med Case Rep 2016 Jun 2;10(1):159. Epub 2016 Jun 2.

Department of Radiology and Nuclear Medicine, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.

Background: Henoch-Schönlein vasculitis is the most common systemic vasculitis in children. Arthritis or arthralgia occurs in 80 % of patients. We believe this to be the first case report to describe the finding of polyarthritis in a fludeoxyglucose positron emission tomography-computed tomography scan in a patient with Henoch-Schönlein vasculitis without clinical signs of arthritis. Read More

Pediatr Emerg Care 2016 Jun;32(6):384-5

From the *Summerville Pediatric Emergency Department, Summerville and †Division of Pediatric Emergency Medicine,Medical University of South Carolina, Charleston, SC.

Henoch-Schonlein purpura (HSP) may present in a variety of ways, most commonly with joint pain or the distinctive palpable purpura. Genitourinary manifestations of HSP are less common and may precede the classic signs and symptoms of HSP, making the diagnosis difficult. We report a case of a 19-month-old boy with penile and scrotal erythema and swelling at presentation who was later diagnosed with HSP. Read More

Hum Immunol 2016 Jul 13;77(7):555-8. Epub 2016 May 13.

Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Etiology of Henoch-Schönlein purpura (HSP) a small vessel vasculitis remains elusive. Susceptibility may be conferred by major histocompatibility complex. There are limited reports on the association of human leucocyte antigens (HLA) and HSP. Read More

J Med Liban 2016 Jan-Mar;64(1):13-7

Objective: To examine the epidemiological and clinical characteristics of children diagnosed with Henoch Sch6nlein purpura (HSP) and to compare them with other areas in the world.

Methods: The medical records of children with HSP were retrospectively reviewed at the Jordan University Hospital between the years 1998 and 2012. The clinical and demographical features, laboratory tests, management and outcome were assessed. Read More

Emerg Nurse 2016 May;24(2):27-35; quiz 37

Torbay Hospital, Torquay.

Children with a petechial rash commonly present to emergency departments. The rash can be associated with serious illnesses, such as invasive meningococcal disease (IMD), but is usually associated with less severe conditions. This article discusses the common and important causes of petechial rash, including IMD, viral illnesses, trauma, Henoch-Schönlein purpura and idiopathic thrombocytopenic purpura. Read More

FP Essent 2016 May;444:30-40; quiz 41-3

Department of Pediatrics Case Western Reserve University School of Medicine, 11100 Euclid Ave, Cleveland, OH 44106.

Although kidney disease is much less common in children than in adults, clinicians must remain alert for the renal conditions that occur in this population because prompt diagnosis and management are essential. Acute postinfectious glomerulonephritis occurs as an uncommon sequela of streptococcal and other infections. Management is focused on providing supportive measures, including management of fluid-electrolyte imbalance and hypertension, until the patient recovers. Read More

Arch Pediatr 2016 Jun 26;23(6):584-90. Epub 2016 Apr 26.

Pédiatrie générale multidisciplinaire, CHU Estaing, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand, France; Inserm CIC 1405, 1, place Lucie-et-Raymond-Aubrac, 63003 Clermont-Ferrand, France. Electronic address:

Objective: Severe gastrointestinal involvement of Henoch-Schönlein purpura (HSP) is rare but potentially life-threatening. Management of severe gastrointestinal involvement in HSP is not codified. Symptomatic care and steroids are a first-line therapy. Read More

Am J Nurs 2016 May;116(5):57-60

Margaret Carman is an assistant professor in the Duke University School of Nursing, Durham, NC; she also coordinates Emergency. Jennifer Forsman is a staff nurse in a pediatric cardiology-oncology unit at the University of North Carolina Hospital, Chapel Hill. Contact author: Margaret Carman, The authors have disclosed no potential conflicts of interest, financial or otherwise.

Diagnosing and treating a child with the most common form of pediatric vasculitis. Read More

Adv Exp Med Biol 2016 ;912:65-72

Department of Pediatrics and Nephrology, Medical University of Warsaw, 63A Żwirki i Wigury St, 02-091, Warsaw, Poland.

The aim of the present study was to quantify the effects of treatment of children with Henoch-Schönlein nephritis (HSN) evaluated on the basis of kidney biopsy findings. Data were analyzed from 32 patients with HSN (mean age 9.3 ± 3. Read More

Ann Dermatol Venereol 2016 May 12;143(5):347-53. Epub 2016 Apr 12.

Clinique dermatologique, hôpitaux universitaires de Strasbourg, BP 426, 1, place de l'Hôpital, 67091 Strasbourg cedex, France. Electronic address:

Objective: For many physicians, palpable purpura is synonymous with vasculitis. However, a skin biopsy is almost always performed in common clinical practice in order to confirm the diagnosis. The aim of our study was to assess whether palpable purpura is always indicative of an inflammatory infiltrate in a vessel wall. Read More