Lightning Learning: Henoch-Schönlein Purpura (HSP)
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.
If kidneys are involved – will usually show by 3 months but can be up to 12 months later!
ALL children require:
Assessment for fluid overload and nephrosis to detect signs of renal impairment
2+ proteinuria or more? Check U&E’s
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.