Lightning Learning: Henoch-Schönlein Purpura (HSP)

Lightning Learning: Henoch-Schönlein Purpura (HSP)

“HSP is a multi-system vasculitic disorder which can affect skin and joints. Children will require a urine dipstick, BP and assessment of fluids.”
— advice is based on local guidelines & procedures

STOP!

Henoch-Schönlein purpura is a multi-system vasculitic disorder (often seen following an illness) which can affect…

Skin: purpuric rash, buttocks & legs

Joints: swelling (particularly knees) & ankles

Additionally… GI pain, renal, cerebral, scrotal area & lungs

  • Long-term morbidity is often related to Renal problems.

  • Usually self-limiting.

  • May relapse.

If kidneys are involved – will usually show by 3 months but can be up to 12 months later!

LOOK

ALL children require:

  • Urine dipstick

  • Blood pressure

  • Assessment for fluid overload and nephrosis to detect signs of renal impairment

2+ proteinuria or more? Check U&E’s

Admit when…

Severe symptoms of joint pain or abdominal pain (analgesia).

Surgical review of testicular pain (torsion).

GI haemorrhage, neurological symptoms or hypertension.

Evidence of acute glomerulonephritis, nephrotic syndrome or abnormal renal function.

All children with renal impairment will require long-term follow up.

Sim Blog: I'm fine Doc, honestly!

Sim Blog: I'm fine Doc, honestly!

F2 Teaching Day (Aug)

F2 Teaching Day (Aug)