科研之友
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摘要
objective: schˋnlein-henoch purpura (psh) is a predominantly pediatric vasculitis with, generally, a benign prognosis. however, in adults can adquire greater severity and more frequency of renal involvement. we report our experience with 9 cases of this entity. material and methods: retrospective review of the leucocitoclastic vasculitis admitted to our hospital in 1995-2002. patients fulfilling ≡3 of michels∩s criteria for psh: a) palpable purpura; b) abdominal angina; c) gastrointestinal bleeding; d) hematuria; e) age %26gt;20 years; y f) absence of responsible medication), were identified. the incidence was 0,65 cases/100.000 inhabitants %26gt;15 years, without seasonal predominance. we identified 9 patients (7 males, age range: 22 to 88 years). there was palpable purpura in 100%, gastrointestinal involvement in 67%, renal in 78%, and oligoarticular in 22%. recovery was uneventful, except for a case with previous renal insufficiency. conclusions: we found a low frequency of articular involvement and high renal afectation but with an excellent prognosis.
