
Sara De Antonio Feu
Hospital del Henares , SpainTitle: Joint disease and Henoch–Schönlein Purpura: A case review
Abstract
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.
Biography
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.