Skip to main content

Knee Swelling and Rash

  • Chapter
  • First Online:
Book cover Pediatric Autoimmunity and Transplantation
  • 315 Accesses

Abstract

  • The EULAR criteria suggests a diagnosis of Henoch Schonlein purpura (HSP) to be made based on palpable purpura with lower limb predominance and at least one of the symptoms of abdominal pain, arthritis or arthralgia or signs of renal involvement or evidence of vasculitis in histopathology

  • The prognosis is excellent for most children with HSP

  • Approximately 20% of children with HSP develop renal involvement which could bear significant mortality and morbidity

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ozen S, Pistorio A, Iusan SM, et al. Paediatric Rheumatology International Trials Organisation (PRINTO). EULAR/PRINTO/PRES criteria for Henoch-Schönlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: final classification criteria. Ann Rheum Dis. 2010;69:798–806.

    Article  Google Scholar 

  2. Mills JA, Michel BA, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of Henoch-Schonlein purpura. Arthritis Rheum. 1990;33:1114–21.

    Article  CAS  Google Scholar 

  3. Altug UEC, Sayin DB, Ensari A. MEFV gene mutations in Henoch-Schönlein purpura. Int J Rheum Dis. 2013;16(3):347–51.

    Article  CAS  Google Scholar 

  4. King B, Goolhoed G. Adverse skin and joint reactions associated with oral antibiotics in children: the role of cefaclor in serum sickness-like reactions. J Paediatr Child Health. 2003;39:677–81.

    Article  CAS  Google Scholar 

  5. Michel B, Hunder G, Bloch D, Calabrese L. Hypersensitivity vasculitis and Henoch-Schönlein purpura: a comparison between the 2 disorders. J Rheumatol. 1992;19(5):721–8.

    CAS  PubMed  Google Scholar 

  6. Ozen S, Ben-Chetrit E, Bakkaloglu A, et al. Semin Arthritis Rheum. 2001;30:281–7. https://doi.org/10.1053/sarh.2001.19958.

    Article  CAS  PubMed  Google Scholar 

  7. Eleftheriou D, Dillon MJ, Tullus K, Marks SD, Pilkington CA, Roebuck DJ, Klein NJ, Brogan PA. Systemic polyarteritis nodosa in the young: a single-center experience over thirty-two years. Arthritis Rheum. 2013;65(9):2476–85.

    Article  CAS  Google Scholar 

  8. Trachtman H. HUS and TTP in children. Pediatr Clin North Am. 2013;60:1513–26.

    Article  Google Scholar 

  9. Tarr P, Gordon C, Chandler W. Shiga-toxin-producing Escherichia coli and hemolytic uremic syndrome. Lancet (London, England). 2005;365:1073–86.

    CAS  Google Scholar 

  10. M. P. Henoch–Schönlein purpura nephritis. Pediatr Nephrol (Berlin Germany). 2015;30:245–52.

    Article  Google Scholar 

  11. Ronkainen J, Ala-Houhala M, Huttenen M, et al. Outcome of Henoch-Schonlein nephritis with nephrotic-range proteinuria. Clin Nephrol. 2003;60:80–4.

    Article  CAS  Google Scholar 

  12. Pacheva IH, Ivanov IS, Stefanova K, Chepisheva E, Chochkova L, Grozeva D, Stoyanova A, Milenkov S, Stefanova P, Petrova A. Central nervous system involvement in Henoch-Schonlein Purpura in children and adolescents. Case Rep Pediatr. 2017;2017:6.

    Google Scholar 

  13. Chartapisak W, Opastiraku S, Willis NS. Prevention and treatment of renal disease in Henoch-Schonlein purpura: a systematic review. Arch Dis Child. 2009;94:132–7.

    Article  CAS  Google Scholar 

  14. Inoue CN, Chiba Y, Morimoto T, Nishio T, Kondo Y, Adachi M, Matsutani S. Tonsillectomy in the treatment of pediatric Henoch-Schönlein nephritis. Clin Nephrol. 2007;67(5):298–305.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Petty, R., Salehzadeh, F. (2020). Knee Swelling and Rash. In: Rahmani, F., Rezaei, N. (eds) Pediatric Autoimmunity and Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-030-26280-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-26280-8_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26279-2

  • Online ISBN: 978-3-030-26280-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics