Hypertension as a Late Sequela of Henoch-Schönlein Purpura

The development of hypertension was examined several years after an episode of Henoch-Schönlein purpura (HSP) in children with or without urinary abnormalities or hypertension at diagnosis. Medical records of 155 children (mean age 6.8±2.3) with HSP from 1969 to 1997 were reviewed for a specific des...

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Bibliographic Details
Published in:Clinical pediatrics 2005-07, Vol.44 (6), p.543-547
Main Authors: Nussinovitch, Naomi, Elishkevitz, Keren, Volovitz, Benjamin, Nussinovitch, Moshe
Format: Article
Language:English
Subjects:
Blood Pressure
Child
Child, Preschool
Children & youth
Excretory system
Female
Humans
Hypertension
Hypertension - etiology
Kidneys
Male
Nephrotic Syndrome - etiology
Purpura, Schoenlein-Henoch - complications
Time Factors
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Summary:The development of hypertension was examined several years after an episode of Henoch-Schönlein purpura (HSP) in children with or without urinary abnormalities or hypertension at diagnosis. Medical records of 155 children (mean age 6.8±2.3) with HSP from 1969 to 1997 were reviewed for a specific description of renal involvement, blood pressure, and urinary abnormalities. The study group consisted of 86 boys (55.47%) and 69 girls (44.53%); 30% had renal involvement, 5 among them presented with nephritic-nephrotic syndrome. Hypertension was found in 7 patients with HSP on long-term follow-up including the 5 who had nephritic-nephrotic syndrome at presentation, 1 who had macroscopic hematuria but normal blood pressure, and 1 with normal urine and normal blood pressure. These data emphasize the need for regular monitoring of children with HSP with or without renal findings.
ISSN:0009-9228
1938-2707
DOI:10.1177/000992280504400613