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.””
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.
LEARN
- UHL: Management of HSP in Children (local)
- UHL: GP Discharge Information: BP/Urine Dip Letter (local)
