Henoch Schonlein Purpura

Henoch-Schonlein purpura is a small-vessel vasculitis seen mostly in children. Immune complexes are deposited, causing petechiae, nephropathy, or renal disease (40%) and GI bleeding. The purpura is usually in dependent areas such as the buttocks and lower extremities. Affected children often present with abdominal pain after an upper respiratory infection. Symptoms typically resolve spontaneously without treatment within 2 weeks, but serious GI and renal involvement can occur, requiring steroids. NSAIDs might be helpful for arthralgias.

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