[Nephropathy in Schönlein-Henoch purpura].
Over one hundred patients diagnosed with vascular purpura at the National Institute of Pediatrics between 1979 and 1988 were retrospectively studied. Frequency was similar for both sexes. 82% were between the ages of six months and 11 years old. The extrarenal clinical manifestations were: petechias in 98%; abdominal pain 78% arthralgias 45%; melena 39%; and arthritis in 19% of the cases, 49 patients had nephropathy of different degrees and they did differently, 32 had hematuria with or without proteinuria within a nephrotic range, seven suffered from a nephrotic syndrome, one with a nephritic syndrome and nine others had a combination of two or three syndromes (nephritic/nephrotic/renal failure) with an unfavorable evolution towards terminal renal failure in eight of them; on the other hand, this was not seen in the remaining patients. Thirteen renal biopsies were taken from patients with more severe clinical manifestations, finding in them mesangial proliferation or endo- and extracapillary proliferation. These findings suggest that the initial clinical presentation of the illness allows for the prediction of the future.
Desinor-Mompoint
O I
OI
Servicio de Nefrología, Instituto Nacional de Pediatría, México, D.F.
García-De la Puente
S
S
de León-Bojorge
B
B
Pablos-Hach
J L
JL
Zaltzman-Girshevych
S
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000453:epidemiology; D007223:Infant; D007674:Kidney Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009393:Nephritis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D009404:Nephrotic Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D011379:Prognosis; D012189:Retrospective Studies
Nefropatía en la púrpura de Henoch Schonlein.