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2016, Number 3

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Rev Med MD 2016; 7.8 (3)

Henoch-Schônlein purpura in pregnancy. Case report

Arroyo-Prado I, Gómez-López CE, Zaragoza-Valdez D, De La Cruz- Rodríguez K, Polanco-Cruz J, CerpSa-Cruz
Full text How to cite this article

Language: Spanish
References: 14
Page: 200-204
PDF size: 589.07 Kb.


Key words:

Pregnancy1steroids, glomerulonephritis, Henoch-Schônlein purpura, vasculitis.

ABSTRACT

Henoch-Schônlein purpura is an IgA deposit induced vasculitis. It was first described in 1802 by William Heberden. Classic clinical manifestations include purpuric lesions, polyarthritis, abdominal pain and renal impairment. Its presentation during pregnancy is rarely described in universal literature, which is why we report the case of a pregnant patient presenting with generalized Henoch-Schônlein purpura as well as mesangial IgA glomerulonephritis. The patient had an adequate response to steroid based treatment, even though there is few evidenced reports of its manifestations during pregnancy and the best treatment in proliferative mesangial glomerulonephritis


REFERENCES

  1. 1.K. Kalmantis, G. Daskalakis, C. Iavazzo, A. Vranos, S . Mesogitis & A. Antsaklis. (2008) Henoch–Schonlein purpura in pregnancy. Journal of Obstetrics and Gynaecology 28(4): 403–405.

  2. 2- S. Tayabali-K. Andersen W. Yoong (2012). Diagnosis and management of henoch-schonlein purpura in pregnancy: a review of the literature. Arch Gynecol Obstet 286:825–829.

  3. 3- Saulsbury FT (2007) Clinical update: Henoch- Scho¨nlein purpura. Lancet 369:976–978

  4. 4- Rai A, Nast C, Adler S (1999). Henoch-Schonlein purpura nephritis. J Am Soc Nephrol 12:2637–2644

  5. 5- Alexandra Audemard-Verger, Evangeline Pillebout, Loďc Guillevina, Eric Thervet, Benjamin Terrier.(2015) IgA vasculitis (Henoch–Shönlein purpura) in adults: Diagnostic and therapeutic aspects. Autoimmunity Reviews xxx

  6. 6- Mills JA, Michel BA, Bloch DA, Calabrese LH, Hunder GG, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Henoch–Schönlein purpura. (1990) Arthritis Rheum;33(8):1114–21.

  7. 7- D.L.Cummins, D. Mimouni, A. Rencic, D.J. kouba and C.H. Nousari. (2003) Henoch–Scho¨nlein purpura in pregnancy. British Journal of Dermatology 149: 1282–1285.

  8. 8- Bergstein J, Leiser J, Andreoli SP. (1998) Response of crescentic HSP nephritis to corticosteroid and azathioprine therapy. Clin Nephrol 49:9–14

  9. 9- Ekoukou D, Karaoui B, Bazin C. 1997. Rheumatoid purpura (or Schoenlein-Henoch syndrome) and pregnancy. Review of the literature and a case report]. Journal de gyne´cologie, obste´trique et biologie de la reproduction (Paris) 26:197–201.

  10. 10-Muszytowski M, Ruszkiewicz-Folda M.(1996). A case of acute renal failure in pregnancy complicated by Henoch-Schoen lein pupurarequiring hemodialysis therapy]. Ginekologia Polska. 67:42–44.

  11. 11-Yasukawa K, Kohno M, Ohmoto A, Matsuyama R. 1996. Henoch-Schonlein nephritis with nephrotic syndrome during pregnancy. Nihon Rinsho Meneki Gakkai Kaishi. 19:505–511.

  12. 12- Ray M, Posen GA. (1985). Henoch-Schonlein purpura in pregnancy. Canadian Medical Association Journal 132:1385–1386

  13. 13- Mollica F, LiVolti S, Garozzo R, Russo G. (1992) Effectiveness of early prednisone treatment in preventing the development of nephropathy in anaphylactoid purpura. Eur J Pediat; 151: 140–4.

  14. 14- Claudio Pozzi, Simeone Andrulli, Lucia del Vecchio, Patrizia Melis, Giovanni B. Fogazzi, Paolo Altieri, Claudio Ponticelli, and Francesco Locatelli (2004) Cor ticosteroid Effectiveness in IgA Nephropathy: Long-Term Results of a Randomized, Controlled Trial. J Am Soc Nephrol; 15: 157–163.




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Rev Med MD. 2016;7.8