title: A case of Henoch-Schoenlein purpura nephritis recurring after 3 years remission.
abstract: Henoch-Schoenlein purpura (HSP) is a systemic disorder characterized by leukocytoclastic vasculitis involving the capillaries with IgA immune complexes deposition, and about 7% of patients with HSP experience recurrence. Most patients with recurring of HSP nephritis show a recurrence of clinical symptoms over a period ranging from 2 to 5 months, even after the disappearance of initial symptoms. Here we report a 9-year-old girl diagnosed with recurrent HSP and severe crescentic glomerulonephritis 3 years after complete resolution of the initial symptoms of HSP. Our case is unique in respect of the recurrence at more than 3 years after the complete resolution of initial symptoms, suggesting that careful followup is required in spite of improved renal symptoms in cases of HSP.
authors.affiliation: Department of Pediatrics, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima City, Fukushima, Japan.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Ushijima
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Kawasaki
authors.forename: Mariko
authors.initials: M
authors.lastname: Kaneko
authors.forename: Kentaro
authors.initials: K
authors.lastname: Haneda
authors.forename: Nobuko
authors.initials: N
authors.lastname: Sakai
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Suyama
authors.forename: Koichi
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Hosoya
mesh_terms: D002648:Child; D005260:Female; D005922:Glomerulonephritis, IGA / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D011695:IgA Vasculitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010956:Plasmapheresis; D011239:Prednisolone / Q000627:therapeutic use; D012008:Recurrence; D013997:Time Factors; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
chemical_list: D011239:Prednisolone; D014568:Urokinase-Type Plasminogen Activator