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Erschienen in: Clinical Rheumatology 1/2021

16.06.2020 | Review Article

Multisystemic manifestations of IgA vasculitis

verfasst von: Lina Du, Panpan Wang, Chang Liu, Shaojing Li, Shuang Yue, Yan Yang

Erschienen in: Clinical Rheumatology | Ausgabe 1/2021

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Abstract

Immunoglobulin A vasculitis (IgAV), also known as Henoch-Schönlein Purpura, is one of the most common kind of systemic vasculitis in children, and due to the involvement of small blood vessels throughout the body, this disease can cause a variety of symptoms in different organs. Our aim was to review the data on various systemic manifestations of IgAV. A research of the literature was performed in PubMed database, utilizing the MeSH terms “IgA vasculitis” and “Henoch Schönlein Purpura”. According to the predetermined structure of the manuscript, we extracted and sorted out the relevant data. Clinically, almost all the patients will present with palpable skin purpura, together with arthritis, gastrointestinal tract involvement, or kidney damage. Other rare systemic manifestations include neurological symptoms, scrotal involvement, and cardiopulmonary disease. When uncommon complications occur, patients may be misdiagnosed as other diseases, thus delaying treatment. Although the course of IgAV is mostly self-limited, misdiagnosis can also lead to a poor prognosis. A comprehensive awareness to the clinical manifestations of IgAV is the necessary prerequisite for its timely diagnosis. Prompt diagnosis and adequate treatment are essential for optimal results.
Literatur
11.
Zurück zum Zitat Nischal KC, Uday K, Urmila B (2007) Koebner's phenomenon in Henoch Schoenlein purpura and role of pressure in its causation. Dermatol Online J 13(2):26PubMed Nischal KC, Uday K, Urmila B (2007) Koebner's phenomenon in Henoch Schoenlein purpura and role of pressure in its causation. Dermatol Online J 13(2):26PubMed
12.
Zurück zum Zitat Chen S-Y, Kong M-S (2004) Gastrointestinal manifestations and complications of Henoch-Schönlein purpura. Chang Gung Med J 27(3):175–181PubMed Chen S-Y, Kong M-S (2004) Gastrointestinal manifestations and complications of Henoch-Schönlein purpura. Chang Gung Med J 27(3):175–181PubMed
25.
Zurück zum Zitat Chao HC, Kong MS, Lin SJ (2000) Hepatobiliary involvement of Henoch-Schönlein purpura in children. Acta Paediatr Taiwan 41(2):63–68PubMed Chao HC, Kong MS, Lin SJ (2000) Hepatobiliary involvement of Henoch-Schönlein purpura in children. Acta Paediatr Taiwan 41(2):63–68PubMed
32.
Zurück zum Zitat Hardy D, Siddiqi A, Warren J, Pipkin W, Howell C, Freeman D et al (2010) Enteric volvulus in a child with Henoch Schönlein purpura. Am Surg 76(9):E154–E155CrossRef Hardy D, Siddiqi A, Warren J, Pipkin W, Howell C, Freeman D et al (2010) Enteric volvulus in a child with Henoch Schönlein purpura. Am Surg 76(9):E154–E155CrossRef
33.
37.
Zurück zum Zitat Ando K, Fujiya M, Sugiyama R, Nata T, Nomura Y, Ueno N, Kashima S, Ishikawa C, Inaba Y, Ito T, Moriichi K, Okamoto K, Ikuta K, Watari J, Mizukami Y, Kohgo Y (2011) Atypical tumour-like involvement of the colon in Henoch-Schonlein purpura successfully treated with the administration of factor XIII. BMJ Case Rep:2011. https://doi.org/10.1136/bcr.08.2010.3251 Ando K, Fujiya M, Sugiyama R, Nata T, Nomura Y, Ueno N, Kashima S, Ishikawa C, Inaba Y, Ito T, Moriichi K, Okamoto K, Ikuta K, Watari J, Mizukami Y, Kohgo Y (2011) Atypical tumour-like involvement of the colon in Henoch-Schonlein purpura successfully treated with the administration of factor XIII. BMJ Case Rep:2011. https://​doi.​org/​10.​1136/​bcr.​08.​2010.​3251
44.
Zurück zum Zitat Johnson EF, Lehman JS, Wetter DA, Lohse CM, Tollefson MM (2015) Henoch-Schönlein purpura and systemic disease in children: retrospective study of clinical findings, histopathology and direct immunofluorescence in 34 paediatric patients. Br J Dermatol 172(5):1358–1363. https://doi.org/10.1111/bjd.13472CrossRefPubMed Johnson EF, Lehman JS, Wetter DA, Lohse CM, Tollefson MM (2015) Henoch-Schönlein purpura and systemic disease in children: retrospective study of clinical findings, histopathology and direct immunofluorescence in 34 paediatric patients. Br J Dermatol 172(5):1358–1363. https://​doi.​org/​10.​1111/​bjd.​13472CrossRefPubMed
46.
Zurück zum Zitat Chen Y, J-h Z, Wu H-s, Wang H-w (2006) Role of mast cells and eosinophil cationic protein in the pathogenesis of Henoch-Schonlein purpura nephritis. Zhonghua Er Ke Za Zhi 44(6):407–410PubMed Chen Y, J-h Z, Wu H-s, Wang H-w (2006) Role of mast cells and eosinophil cationic protein in the pathogenesis of Henoch-Schonlein purpura nephritis. Zhonghua Er Ke Za Zhi 44(6):407–410PubMed
49.
Zurück zum Zitat Yamakawa T, Yamamoto I, Komatsuzaki Y, Niikura T, Okabayashi Y, Katsumata H, Kawabe M, Katsuma A, Mafune A, Nakada Y, Kobayashi A, Koike Y, Miki J, Yamada H, Tanno Y, Ohkido I, Tsuboi N, Yamamoto H, Yokoo T (2016) Successful treatment of recurrent Henoch-Schönlein purpura nephritis in a renal allograft with tonsillectomy and steroid pulse therapy. Nephrology 21(Suppl 1):53–56. https://doi.org/10.1111/nep.12770CrossRefPubMed Yamakawa T, Yamamoto I, Komatsuzaki Y, Niikura T, Okabayashi Y, Katsumata H, Kawabe M, Katsuma A, Mafune A, Nakada Y, Kobayashi A, Koike Y, Miki J, Yamada H, Tanno Y, Ohkido I, Tsuboi N, Yamamoto H, Yokoo T (2016) Successful treatment of recurrent Henoch-Schönlein purpura nephritis in a renal allograft with tonsillectomy and steroid pulse therapy. Nephrology 21(Suppl 1):53–56. https://​doi.​org/​10.​1111/​nep.​12770CrossRefPubMed
56.
Zurück zum Zitat Davol P, Mowad J, Mowad CM (2006) Henoch-Schönlein purpura presenting with orchitis: a case report and review of the literature. Cutis 77(2):89–92PubMed Davol P, Mowad J, Mowad CM (2006) Henoch-Schönlein purpura presenting with orchitis: a case report and review of the literature. Cutis 77(2):89–92PubMed
68.
Zurück zum Zitat Gairdner D (1948) The Schönlein-Henoch syndrome (anaphylactoid purpura). Q J Med 17(66):95–122PubMed Gairdner D (1948) The Schönlein-Henoch syndrome (anaphylactoid purpura). Q J Med 17(66):95–122PubMed
81.
Zurück zum Zitat Selhub J, D'Angelo A (1997) Hyperhomocysteinemia and thrombosis: acquired conditions. Thromb Haemost 78(1):527–531CrossRef Selhub J, D'Angelo A (1997) Hyperhomocysteinemia and thrombosis: acquired conditions. Thromb Haemost 78(1):527–531CrossRef
97.
Zurück zum Zitat Belman AL, Leicher CR, Moshé SL, Mezey AP (1985) Neurologic manifestations of Schoenlein-Henoch purpura: report of three cases and review of the literature. Pediatrics 75(4):687–692PubMed Belman AL, Leicher CR, Moshé SL, Mezey AP (1985) Neurologic manifestations of Schoenlein-Henoch purpura: report of three cases and review of the literature. Pediatrics 75(4):687–692PubMed
Metadaten
Titel
Multisystemic manifestations of IgA vasculitis
verfasst von
Lina Du
Panpan Wang
Chang Liu
Shaojing Li
Shuang Yue
Yan Yang
Publikationsdatum
16.06.2020
Verlag
Springer International Publishing
Erschienen in
Clinical Rheumatology / Ausgabe 1/2021
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-020-05166-5

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