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Purpura de Henoch-Schönlein: une prise en charge entre pédiatre et néphrologue pédiatre

Chehade, Hassib
Published in Revue médicale suisse. 2011, vol. 7, no. 283, p. 442-6
Abstract Henoch-Schönlein purpura is a well known paediatric disease characterized by the classic triad: purpura, arthritis and abdominal pain. Short term prognosis is excellent and is mostly dependant on abdominal complications. Long term morbidity depends essentially on the severity of renal involvement which occurs in 35% of cases. Microhematuria and light proteinuria are the only signs in 80% of cases. The remaining 20% presents with nephrotic or nephritic syndrome and acute renal insufficiency. Among patients with Henoch-Schönlein nephritis the risk of developing renal insufficiency varies between 11-30% of cases. Currently, the follow up guidelines are multiple and the optimal treatment of nephritis is controversial; this is what this article proposes to discuss.
Keywords Abdominal Pain/etiologyArthritis/etiologyChildHumansIncidenceKidney Diseases/diagnosis/epidemiology/etiology/therapyNephrologyPediatricsPrognosisPurpura/etiologyPurpura, Schoenlein-Henoch/complications/diagnosis/epidemiology/therapyRisk FactorsSwitzerland/epidemiology
PMID: 21452512
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Research group Pathogénèse du syndrome néphrotique idiopathique de l'enfant (180)
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WILHELM-BALS, Alexandra Marina, CHEHADE, Hassib, GIRARDIN, Eric. Purpura de Henoch-Schönlein: une prise en charge entre pédiatre et néphrologue pédiatre. In: Revue médicale suisse, 2011, vol. 7, n° 283, p. 442-6. https://archive-ouverte.unige.ch/unige:25425

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Deposited on : 2013-01-11

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