1,834 results match your criteria: "Pediatrics Henoch-Schonlein Purpura"

Exploring the predictive factors in the gastrointestinal involvement of patients with immunoglobulin A vasculitis.

Turk J Pediatr

November 2024

Department of Pediatrics, Department of Pediatric Rheumatology, Faculty of Medicine, Kocaeli University, Kocaeli, Türkiye.

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[Prognosis and risk factors of IgA vasculitis nephritis in children].

Zhonghua Er Ke Za Zhi

December 2024

Department of Pediatric Nephrology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan430030, China.

Article Synopsis
  • The study focused on understanding the prognosis and risk factors for children with IgA vasculitis nephritis (IgAVN) by analyzing clinical data from 264 diagnosed patients over more than three years.
  • Key findings revealed that the majority of patients presented with skin purpura and kidney issues such as hematuria and proteinuria, with most undergoing renal biopsies shortly after symptoms began.
  • Statistical analyses were employed to assess factors influencing prognosis, and results indicated that younger children had higher rates of complete remission after three years compared to older age groups.
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Unlabelled: The aim of this study was to evaluate the cutaneous manifestations of immunoglobulin A vasculitis (IgAV) in terms of skin lesion type, distribution and persistence and to investigate the relationship between cutaneous manifestations and system involvement and treatment needs. This retrospective observational study was conducted with 489 IgAV patients who were followed-up for at least 6 months between 2013 and 2024. Demographic characteristics, detailed cutaneous manifestations, clinical findings and treatments were retrieved from electronic medical records.

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Vasculitis in Children.

Turk Arch Pediatr

November 2024

Department of Pediatric Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.

Vasculitis in children represents a diverse group of diseases characterized by inflammation of blood vessels, which can lead to significant morbidity if not promptly recognized and managed. This review explores the epidemiology, pathophysiology, classification, and management of key pediatric vasculitides. Classification based on vessel size aids in diagnosis and treatment.

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Article Synopsis
  • Immunoglobulin A vasculitis (IgAV), formerly known as Henoch-Schönlein purpura, is the most common systemic vasculitis in children, affecting organs like the skin, gastrointestinal tract, joints, and kidneys.
  • GI involvement in IgAV varies from mild cases to severe ones requiring surgery, and while specific endoscopic findings can aid in diagnosis, not all cases present with dermatological symptoms like purpura.
  • Emerging evidence suggests that IgA enteropathy could be a variant of IgAV, as it shares similar symptoms and findings, highlighting the complex relationship between immune responses and clinical presentations in this condition.
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Genome-wide studies define new genetic mechanisms of IgA vasculitis.

medRxiv

October 2024

Department of Medicine, Division of Nephrology, Columbia University, College of Physicians & Surgeons, New York, NY, USA.

Article Synopsis
  • IgA vasculitis (IgAV) is a pediatric disease characterized by skin and systemic symptoms, and researchers conducted comprehensive studies involving genome, transcriptome, and proteome analyses on a large cohort of IgAV patients and controls to better understand the disease mechanisms.* -
  • Significant associations were found with specific genetic risk factors, including two novel non-HLA loci linked to IgA receptor functioning, which may contribute to disease development through altered immune responses.* -
  • Systems biology approaches helped identify key regulatory networks and master regulators in myeloid cells, along with 21 genetic loci that overlap with IgA nephropathy, suggesting shared pathways in these related conditions.*
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  • IgA vasculitis (IgAV) is a common type of blood vessel disease in kids, and while most get better, some can have long-term kidney problems.
  • A group of 28 experts worked for over a year to create guidelines on how to treat IgAV and its complications by reviewing many studies and getting feedback from others.
  • The new guidelines have been approved by important health organizations and aim to help doctors provide better care for kids with this condition.
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  • Wheezing in early life, often due to viral infections, may lead to an increased risk of autoimmune diseases in children.
  • A study in Korea compared 34,959 children with early wheezing to similarly matched controls, finding that those with wheezing had higher incidence rates of autoimmune diseases over 15 years.
  • The research highlights specific autoimmune conditions linked to wheezing, indicating a need for further understanding of how early respiratory issues can impact long-term health.
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  • - This study examines how the Dietary Inflammatory Index (DII) is linked to the severity and complications of Henöch-Schönlein purpura (HSP) in children aged 2-14 years, aiming to highlight the impact of diet on this condition.
  • - Researchers conducted a retrospective study with 115 participants, classifying them into low and pro-inflammatory dietary groups based on their DII scores. Key health markers and complications were compared, revealing that the pro-inflammatory group had significantly worse health outcomes.
  • - The findings suggest that a pro-inflammatory diet is associated with higher complications in HSP, indicating that dietary choices may play a critical role in managing the disease and improving children's health outcomes.
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  • IgA nephropathy and IgA vasculitis with nephritis are kidney conditions that can occur in kids, but they're pretty rare.
  • Unlike adults, children often show more severe symptoms quickly, like blood in their urine, and their kidneys look more inflamed when doctors check.
  • There's not a lot of good information on how to treat these conditions because they're different in kids, and experts from around the world are trying to figure out better ways to help affected children.
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  • Immunoglobulin A vasculitis (IgAV) in children may be linked to allergic rhinitis (AR) and chronic rhinosinusitis (CRS), as a study analyzed the condition and its associations in hospitalized patients from January to December 2019.
  • Among 504 children with IgAV, a significant portion (70.8%) had AR or CRS, with higher occurrences of renal issues and recurrent rashes noted particularly in the simple AR and AR + CRS groups compared to those without AR or CRS.
  • The findings suggest that chronic rhinitis could contribute to the development of IgAV, making AR a potential risk factor for more severe symptoms like renal involvement and rashes
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Henoch-Schönlein purpura (HSP) is a systemic vasculitis characterized by palpable purpura, arthralgia or arthritis, GI symptoms, and renal involvement. Superior mesenteric artery (SMA) syndrome, a rare condition, occurs when the third part of the duodenum is compressed between the aorta and the SMA, leading to upper intestinal obstruction. This case report describes the clinical presentation, diagnostic process, and management of an eight-year-old girl with HSP complicated by SMA syndrome.

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  • The study aimed to identify factors influencing gastrointestinal bleeding in children with abdominal-type Henoch-Schonlein purpura (HSP) and evaluate the diagnostic usefulness of the platelet-to-lymphocyte ratio (PLR).
  • Researchers analyzed medical records from 112 children with abdominal HSP, categorizing them into bleeding and non-bleeding groups, while comparing PLR and other blood indicators between the two.
  • Results showed that higher PLR and white blood cell counts were significant risk factors for gastrointestinal bleeding, and PLR also had strong predictive value for both bleeding risk and treatment efficacy.
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Duodenal ulcer (DU) is the most common gastroscopic manifestation of abdominal Henoch-Schönlein purpura (HSP), which may cause severe bleeding and often requires esophagogastroduodenoscopy (EGD) to confirm the diagnosis. However, the condition of children with HSP changes rapidly; not all children are able to undergo EGD on time, and some hospitals do not have a pediatric EGD unit. Therefore, assessing the risk factors for developing DU in HSP using simple and readily available indicators is essential.

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  • Immunoglobulin A vasculitis (IgAV) is a type of systemic vasculitis linked to IgA immune complexes, and this study explores the role of soluble CD89-IgA complexes (sCD89-IgA) as biomarkers for predicting organ involvement in children with IgAV.
  • A cohort of 57 pediatric patients with IgAV was analyzed, revealing that those with multi-organ involvement, particularly renal issues, exhibited significantly higher levels of plasma IgA complexes and sCD89-IgA compared to those with skin-only involvement.
  • The findings indicate that elevated plasma sCD89-IgA levels are strong predictors for multi-organ and renal involvement in IgAV, with statistical analyses showing high sensitivity and specificity for
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Amelioration of immunoglobulin A vasculitis by suppression of the pathological expansion of T follicular helper 17 cells.

J Autoimmun

December 2024

Department of Pediatrics, The First Hospital of China Medical University, Shenyang, China; Department of Microbiology & Immunology and Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address:

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Background: Regulating the immune system is a crucial measure of gut microbiota (GM) that influences the development of diseases. The causal role of GM on Henoch-Schönlein Purpura (HSP) and whether it can be mediated by immune cells is still unknown.

Methods: We performed a two-sample Mendelian randomization study using an inverse variance weighted (IVW) method to examine the causal role of GM on HSP and the mediation effect of immune cells between the association of GM and HSP.

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Immunoglobulin A (IgA) vasculitis, or Henoch-Schonlein purpura, is the most common systemic vasculitis in children, clinically presenting as palpable purpura in combination with arthritis, gastrointestinal involvement, or kidney injury. Subcutaneous edema is reported in patients with IgA vasculitis, and it commonly affects the lower extremities, especially around joints. Here, we report a case of IgA vasculitis with a rare presentation of edema isolated to the periorbital area in a 7-year-old boy, who subsequently developed crescentic glomerulonephritis with nephrotic range proteinuria.

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