Abstract
Henoch-Schonlein Purpura (HSP) is the commonest vasculitis in children, and the outcome depends on renal involvement or occurrence of HSP nephritis (HSPN). Hence, a meticulous diagnosis, treatment and regular follow-up plan is needed for a better prognosis. A case of 12 - year - old girl showing HSPN symptoms only eight weeks after the first onset of HSP is reported. Symptoms of HSPN might appear later, hence emphasising the importance of close monitoring in a patient of HSP. There is a lack of clear consensus about the management of HSPN until now, and it becomes a challenge especially in a limited resource setting like ours. In our case, the patient was treated with corticosteroids.
Highlights
Henoch-Schonlein Purpura (HSP) is the commonest vasculitis in children
The long - term morbidity depends on renal involvement or HSP nephritis (HSPN), which occurs in 30 - 50% of children with HSP.[2]
There is a lack of clear consensus on the management of HSPN in children
Summary
Henoch-Schonlein Purpura (HSP) is the commonest vasculitis in children. The patient had already been admitted to the hospital with the complaint of abdominal pain. The patient came for follow-up, but by this time the purpura came back to both the legs and even at the soles, with pain even though not as great as before. She was treated with intravenous fluid resuscitation, intravenous methylprednisolone 12 mg three times a day, intravenous ranitidine 35 mg two times a day, and oral ibuprofen 400 mg three times a day. After 12 days, the purpura and pain subsided and the patient was dismissed with oral methylprednisolone 8 mg three times a day and oral ibuprofen 400 mg three times a day. The urinalysis showed there was presence of hematuria with erythrocyte + 2 and was closely monitored
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