Evaluation of Henoch Schonlein purpura at three medical centers

Professor M.H. Soltanzadeh MD
Professor of Pediatrics, ID ,
Shahid Beheshti University of Medical Science ,
Tehran ,IRAN


This study was designed to evaluate the patients with Know diagnosis of Henoch Schonlein Purpura who were admitted at Imam Hossein Medical Center, Shohada Medical Center and Loghman-e Hakeem Medical Center, Tehran Iran from March 1991 to February 1993. Presenting signs and symptoms, seasonal presentations, laboratory findings and common presenting age groups were studied. The results compared to different sources for context and reliability.

The study was done on 27 patients and the following results were obtained:

Fifty- five percent of the patients were male and 45% were female. The most common age at presentation was 4-8 years; 67% of the patients were 7 or below 7 years of age.

Twenty five patients presented with typical purpura and 2 with petechiae. The most common presenting complaints were purpura (100%), abdominal pain (66%)and joint pain (61%). Presentation was most common in winter and autumn. There was a history of upper respiratory tract infection and fever in 44.5% of the patients. Hematuria and proteinuria were observed in 22% of the cases; however BUN and creatinine were in the normal range in 25 and increased in 2 patients.

Nephrotic or nephritic syndrome was present in 3 patients and crescentic glomerulonephritis was present in one. None of the patients had cerebral hemorrhage.

Key Words: Henoch Schonlein Purpura, Vasculitis Purpura.

(Teb va Tazkie:Vol 23,spring 1999)