Sara De Antonio FeuHospital del Henares , Spain
Title: Joint disease and Henoch–Schönlein Purpura: A case review
Schönlein-Henoch Purpura is the most common type of vasculitis in childhood. Its most frequent clinical manifestations are: palpable purpura, arthritis, abdominal pain, intestinal bleeding and nephritis although any organ may be affected. A large number of studies conclude that IgA plays a large role in its pathogenesis. It is more prevalent in males and the mean age of onset is at 6-7years. Joint symptoms are the second most frequent manifestation, after palpable purpura. Joint involvement occurs in 40-82% of patients, being more frequent in children under 7years. This may be the presenting symptom in 15-43%. Joint manifestations include arthritis and arthralgia. The affectation is usually oligoarticular. Pain is migratory and recurrent. The most involved joints are knees, ankles, feet and hips. The diagnosis is clinical and the therapeutic management is conservative, with non steroidal anti-inflammatory drugs at an early stage, requiring only corticosteroids if pain is intractable. Arthralgia-arthritis is transient and resolves within a few days without consequences. The recurrence rate of joint involvement is very low.
Sara De Antonio is a 28 year old doctor from Madrid, Spain. She is actually in her last residence year in Community and Family Medicine also interested in photography. A picture is worth a thousand words is her motto. She is always interested in showing characteristic images associated to clinic cases to share knowledge with her partners. She has participated in several medical activities as investigation (two projects in course), conferences, posters, social community campaigns for raise awareness and using art as a vehicle for patients expression.